Unlisted px arthroscopy at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$262.16
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.
$5,893.00
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.
$262.16 with WELLCARE vs $15,984.00 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $262.16 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $262.16 | ↑ +0% |
| VACCN | ALL PRODUCTS | $262.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $262.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $275.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $285.75 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $314.59 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,060.74 | ↑ +305% |
| AETNA | MANAGED MEDICAID | $1,090.21 | ↑ +316% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +354% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,208.07 | ↑ +361% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +540% |
| QUALCARE | HMO | $2,255.00 | ↑ +760% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +982% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1179% |
| HORIZON | PIP | $3,836.34 | ↑ +1363% |
| HORIZON | WORKERS COMP | $3,959.51 | ↑ +1410% |
| HORIZON | OMNIA | $4,255.34 | ↑ +1523% |
| BERGEN RISK | ALL PRODUCTS | $4,419.75 | ↑ +1586% |
| AETNA | ASA | $4,614.22 | ↑ +1660% |
| CIGNA | BH | $4,714.40 | ↑ +1698% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,009.05 | ↑ +1811% |
| HORIZON | SHP | $5,058.55 | ↑ +1830% |
| AMERIHEALTH | LOCAL HMO | $5,117.48 | ↑ +1852% |
| HORIZON | INDEMNITY | $5,244.77 | ↑ +1901% |
| HORIZON | HMO | $5,248.31 | ↑ +1902% |
| CIGNA | HMO | $5,297.22 | ↑ +1921% |
| CIGNA | PPO | $5,297.22 | ↑ +1921% |
| QUALCARE | WORKERS COMP | $5,350.84 | ↑ +1941% |
| QUALCARE | PPO | $5,350.84 | ↑ +1941% |
| HORIZON | PPO | $5,387.38 | ↑ +1955% |
| AMERIHEALTH | REGIONAL HMO | $5,796.35 | ↑ +2111% |
| AETNA | PPO | $9,383.00 | ↑ +3479% |
| AETNA | HMO | $9,383.00 | ↑ +3479% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +5997% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px arthroscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $3,195.47 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $265.51 – $528.36 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $15,984.00 |