Tympanostomy/ven tube/loc/top anes 69433 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$556.55
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,990.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$279.67 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $279.67 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $358.20 | ↓ -36% |
| AETNA | MANAGED MEDICAID | $368.15 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $407.95 | ↓ -27% |
| AETNA | MEDICARE ADVANTAGE | $415.91 | ↓ -25% |
| WELLCARE | MEDICARE ADVANTAGE | $556.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $556.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $556.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $556.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $584.38 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $667.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +114% |
| HORIZON | PIP | $1,295.49 | ↑ +133% |
| HORIZON | WORKERS COMP | $1,337.08 | ↑ +140% |
| HORIZON | OMNIA | $1,436.98 | ↑ +158% |
| BERGEN RISK | ALL PRODUCTS | $1,492.50 | ↑ +168% |
| QUALCARE | HMO | $1,525.00 | ↑ +174% |
| AETNA | ASA | $1,558.17 | ↑ +180% |
| CIGNA | BH | $1,592.00 | ↑ +186% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +202% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,691.50 | ↑ +204% |
| HORIZON | SHP | $1,708.22 | ↑ +207% |
| AMERIHEALTH | LOCAL HMO | $1,728.12 | ↑ +211% |
| HORIZON | INDEMNITY | $1,771.10 | ↑ +218% |
| HORIZON | HMO | $1,772.29 | ↑ +218% |
| QUALCARE | PPO | $1,806.92 | ↑ +225% |
| QUALCARE | WORKERS COMP | $1,806.92 | ↑ +225% |
| HORIZON | PPO | $1,819.26 | ↑ +227% |
| AMERIHEALTH | REGIONAL HMO | $1,957.36 | ↑ +252% |
| CIGNA | HMO | $2,249.00 | ↑ +304% |
| CIGNA | PPO | $2,518.00 | ↑ +352% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +410% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +502% |
| AETNA | PPO | $9,383.00 | ↑ +1586% |
| AETNA | HMO | $9,383.00 | ↑ +1586% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1685% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tympanostomy/ven tube/loc/top anes 69433 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $105.48 – $1,113.10 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $92.96 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $95.20 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $91.84 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $108.58 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $100.80 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $183.68 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |