Air conduction bilat at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$140.87
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.
$227.00
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.
$40.86 with CLOVER vs $527.00 with AMERIHEALTH — 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 | $40.86 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $42.00 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.54 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $65.35 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $133.70 | ↓ -5% |
| VACCN | ALL PRODUCTS | $140.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $143.87 | ↑ +2% |
| HORIZON | PIP | $147.78 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.92 | ↑ +5% |
| HORIZON | WORKERS COMP | $152.52 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $153.55 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $161.37 | ↑ +15% |
| HORIZON | OMNIA | $163.92 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $170.25 | ↑ +21% |
| AETNA | ASA | $177.74 | ↑ +26% |
| CIGNA | BH | $181.60 | ↑ +29% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $192.95 | ↑ +37% |
| HORIZON | SHP | $194.86 | ↑ +38% |
| HORIZON | INDEMNITY | $202.03 | ↑ +43% |
| HORIZON | HMO | $202.17 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $204.30 | ↑ +45% |
| AETNA | HMO | $204.35 | ↑ +45% |
| AETNA | PPO | $204.35 | ↑ +45% |
| QUALCARE | PPO | $206.12 | ↑ +46% |
| QUALCARE | WORKERS COMP | $206.12 | ↑ +46% |
| QUALCARE | HMO | $206.12 | ↑ +46% |
| HORIZON | PPO | $207.52 | ↑ +47% |
| CIGNA | HMO | $217.08 | ↑ +54% |
| CIGNA | PPO | $217.08 | ↑ +54% |
| UNITED HEALTHCARE | HMO | $352.00 | ↑ +150% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +230% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +274% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Air conduction bilat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $69.19 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $65.35 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $69.19 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $65.35 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $69.19 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $69.19 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $65.35 – $465.00 |