2d tte w or without fol w/con,co at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$863.44
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.
$1,879.00
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.
$338.22 with CLOVER vs $2,845.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $338.22 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $347.62 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $385.20 | ↓ -55% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $863.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $863.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $863.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $863.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $906.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $941.15 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,036.13 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,106.73 | ↑ +28% |
| HORIZON | MANAGED MEDICAID | $1,190.91 | ↑ +38% |
| HORIZON | PIP | $1,223.23 | ↑ +42% |
| HORIZON | WORKERS COMP | $1,262.50 | ↑ +46% |
| HORIZON | OMNIA | $1,356.83 | ↑ +57% |
| BERGEN RISK | ALL PRODUCTS | $1,409.25 | ↑ +63% |
| AETNA | ASA | $1,471.26 | ↑ +70% |
| CIGNA | BH | $1,503.20 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,597.15 | ↑ +85% |
| HORIZON | SHP | $1,612.93 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $1,631.72 | ↑ +89% |
| HORIZON | INDEMNITY | $1,672.31 | ↑ +94% |
| HORIZON | HMO | $1,673.44 | ↑ +94% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,691.10 | ↑ +96% |
| AETNA | HMO | $1,691.48 | ↑ +96% |
| AETNA | PPO | $1,691.48 | ↑ +96% |
| QUALCARE | HMO | $1,706.13 | ↑ +98% |
| QUALCARE | PPO | $1,706.13 | ↑ +98% |
| QUALCARE | WORKERS COMP | $1,706.13 | ↑ +98% |
| HORIZON | PPO | $1,717.78 | ↑ +99% |
| CIGNA | PPO | $1,796.89 | ↑ +108% |
| CIGNA | HMO | $1,796.89 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $1,848.18 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $2,336.00 | ↑ +171% |
| UNITED HEALTHCARE | HMO | $2,845.00 | ↑ +229% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $875.24 | $790.06 – $1,839.00 |
| Jersey Shore University Medical Center | Neptune City | $874.49 | $874.49 – $2,376.00 |
| Palisades Medical Center | North Bergen | $930.42 | $930.42 – $3,541.00 |
| Raritan Bay Medical Center | Perth Amboy | $875.24 | $875.24 – $2,209.00 |
| Riverview Medical Center | Red Bank | $874.49 | $874.49 – $2,291.00 |