Aep thrshld est mlt freq i&r at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$340.32
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.
$1,811.00
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.
$187.53 with KARNA vs $1,731.86 with CIGNA — 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 | $187.53 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $325.98 | ↓ -4% |
| AETNA | MANAGED MEDICAID | $335.04 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $340.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $340.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $340.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $340.32 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $352.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $357.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $370.95 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $371.26 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $408.39 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,066.68 | ↑ +213% |
| HORIZON | MANAGED MEDICAID | $1,147.81 | ↑ +237% |
| HORIZON | PIP | $1,178.96 | ↑ +246% |
| HORIZON | WORKERS COMP | $1,216.81 | ↑ +258% |
| OXFORD | ALL PRODUCTS | $1,287.44 | ↑ +278% |
| HORIZON | OMNIA | $1,307.72 | ↑ +284% |
| BERGEN RISK | ALL PRODUCTS | $1,358.25 | ↑ +299% |
| AETNA | ASA | $1,418.01 | ↑ +317% |
| CIGNA | BH | $1,448.80 | ↑ +326% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,539.35 | ↑ +352% |
| HORIZON | SHP | $1,554.56 | ↑ +357% |
| HORIZON | INDEMNITY | $1,611.79 | ↑ +374% |
| HORIZON | HMO | $1,612.88 | ↑ +374% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,629.90 | ↑ +379% |
| AETNA | HMO | $1,630.26 | ↑ +379% |
| AETNA | PPO | $1,630.26 | ↑ +379% |
| QUALCARE | HMO | $1,644.39 | ↑ +383% |
| QUALCARE | WORKERS COMP | $1,644.39 | ↑ +383% |
| QUALCARE | PPO | $1,644.39 | ↑ +383% |
| HORIZON | PPO | $1,655.62 | ↑ +386% |
| CIGNA | HMO | $1,731.86 | ↑ +409% |
| CIGNA | PPO | $1,731.86 | ↑ +409% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $304.00 – $465.00 |
| Hackensack University Medical Center | Hackensack | $366.72 | $195.17 – $487.00 |
| Ocean University Medical Center | Brick | $340.32 | $116.00 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $116.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $187.53 – $443.00 |
| Palisades Medical Center | North Bergen | $366.72 | $125.71 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $344.98 | $159.53 – $376.02 |
| Riverview Medical Center | Red Bank | $344.68 | $187.53 – $465.00 |