3-d radiotherapy plan at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,495.34
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.
$12,114.00
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.
$878.40 with KARNA vs $22,558.00 with QUALCARE — 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 | $878.40 | ↓ -41% |
| WELLCARE | MEDICARE ADVANTAGE | $1,495.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,495.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,495.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,495.34 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,570.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,629.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,794.41 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $2,180.52 | ↑ +46% |
| AETNA | MANAGED MEDICAID | $2,241.09 | ↑ +50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,483.37 | ↑ +66% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +81% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +85% |
| AMERIHEALTH | LOCAL HMO | $3,523.96 | ↑ +136% |
| AMERIHEALTH | REGIONAL HMO | $3,854.67 | ↑ +158% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,420.42 | ↑ +329% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,135.15 | ↑ +377% |
| HORIZON | PIP | $7,886.21 | ↑ +427% |
| HORIZON | WORKERS COMP | $8,139.40 | ↑ +444% |
| HORIZON | OMNIA | $8,747.52 | ↑ +485% |
| BERGEN RISK | ALL PRODUCTS | $9,085.50 | ↑ +508% |
| AETNA | ASA | $9,485.26 | ↑ +534% |
| CIGNA | PPO | $9,682.02 | ↑ +547% |
| CIGNA | HMO | $9,682.02 | ↑ +547% |
| CIGNA | BH | $9,691.20 | ↑ +548% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,296.90 | ↑ +589% |
| HORIZON | SHP | $10,398.66 | ↑ +595% |
| HORIZON | INDEMNITY | $10,781.46 | ↑ +621% |
| HORIZON | HMO | $10,788.73 | ↑ +621% |
| AETNA | HMO | $11,067.35 | ↑ +640% |
| AETNA | PPO | $11,067.35 | ↑ +640% |
| HORIZON | PPO | $11,074.62 | ↑ +641% |
| QUALCARE | HMO | $21,431.00 | ↑ +1333% |
| QUALCARE | PPO | $22,558.00 | ↑ +1409% |
| QUALCARE | WORKERS COMP | $22,558.00 | ↑ +1409% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
3-d radiotherapy plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,514.47 | $1,514.47 – $21,431.00 |
| Hackensack University Medical Center | Hackensack | $1,611.35 | $780.38 – $9,085.33 |
| Ocean University Medical Center | Brick | $1,495.34 | $293.00 – $21,431.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,515.79 | $293.00 – $9,288.60 |
| Jersey Shore University Medical Center | Neptune City | $1,514.47 | $878.40 – $21,431.00 |
| Palisades Medical Center | North Bergen | $1,611.35 | $719.84 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $1,515.79 | $919.74 – $2,746.00 |
| Riverview Medical Center | Red Bank | $1,514.47 | $878.40 – $21,431.00 |