Ventricular puncture prev burr hole without inj 61020 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$972.98
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.
?
What you pay up front if you don't use insurance.
$3,518.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$223.50 with KARNA vs $10,149.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $223.50 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $633.24 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $650.83 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $721.19 | ↓ -26% |
| WELLCARE | MANAGED MEDICAID | $972.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $972.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,021.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,060.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,167.58 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,072.10 | ↑ +113% |
| HORIZON | MANAGED MEDICAID | $2,229.71 | ↑ +129% |
| CIGNA | HMO | $2,249.00 | ↑ +131% |
| HORIZON | PIP | $2,290.22 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $2,500.95 | ↑ +157% |
| CIGNA | PPO | $2,518.00 | ↑ +159% |
| BERGEN RISK | ALL PRODUCTS | $2,638.50 | ↑ +171% |
| UNITED HEALTHCARE | HMO | $2,732.78 | ↑ +181% |
| AETNA | ASA | $2,754.59 | ↑ +183% |
| CIGNA | BH | $2,814.40 | ↑ +189% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,990.30 | ↑ +207% |
| AMERIHEALTH | LOCAL HMO | $3,055.03 | ↑ +214% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,166.20 | ↑ +225% |
| AETNA | HMO | $3,166.90 | ↑ +225% |
| AETNA | PPO | $3,166.90 | ↑ +225% |
| QUALCARE | WORKERS COMP | $3,194.34 | ↑ +228% |
| QUALCARE | HMO | $3,194.34 | ↑ +228% |
| QUALCARE | PPO | $3,194.34 | ↑ +228% |
| AMERIHEALTH | REGIONAL HMO | $3,460.30 | ↑ +256% |
| HORIZON | OMNIA | $6,368.00 | ↑ +554% |
| HORIZON | SHP | $7,264.00 | ↑ +647% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +709% |
| HORIZON | HMO | $7,869.00 | ↑ +709% |
| HORIZON | PPO | $8,077.00 | ↑ +730% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +943% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ventricular puncture prev burr hole without inj 61020 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $54.99 – $1,945.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $69.72 – $1,997.66 |
| Community Medical Center | Toms River | $3,786.00 | $71.40 – $1,936.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $68.88 – $1,987.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $56.61 – $1,997.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $71.16 – $2,086.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $137.76 – $1,961.01 |
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |