Allg patch or app # of tests 95044 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,111.89
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.
$3,325.00
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.
$8.58 with KARNA vs $3,270.47 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $8.58 | ↓ -99% |
| OXFORD | ALL PRODUCTS | $393.00 | ↓ -65% |
| UNITED HEALTHCARE | HMO | $546.00 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $598.50 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $615.13 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $681.63 | ↓ -39% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,111.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,111.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,167.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,211.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,334.26 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,958.43 | ↑ +76% |
| HORIZON | MANAGED MEDICAID | $2,107.39 | ↑ +90% |
| HORIZON | PIP | $2,164.58 | ↑ +95% |
| HORIZON | WORKERS COMP | $2,234.07 | ↑ +101% |
| HORIZON | OMNIA | $2,400.98 | ↑ +116% |
| BERGEN RISK | ALL PRODUCTS | $2,493.75 | ↑ +124% |
| AETNA | ASA | $2,603.48 | ↑ +134% |
| CIGNA | BH | $2,660.00 | ↑ +139% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,826.25 | ↑ +154% |
| HORIZON | SHP | $2,854.18 | ↑ +157% |
| AMERIHEALTH | LOCAL HMO | $2,887.43 | ↑ +160% |
| HORIZON | INDEMNITY | $2,959.25 | ↑ +166% |
| HORIZON | HMO | $2,961.25 | ↑ +166% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,992.50 | ↑ +169% |
| AETNA | HMO | $2,993.17 | ↑ +169% |
| AETNA | PPO | $2,993.17 | ↑ +169% |
| QUALCARE | PPO | $3,019.10 | ↑ +172% |
| QUALCARE | HMO | $3,019.10 | ↑ +172% |
| QUALCARE | WORKERS COMP | $3,019.10 | ↑ +172% |
| HORIZON | PPO | $3,039.72 | ↑ +173% |
| CIGNA | PPO | $3,179.70 | ↑ +186% |
| CIGNA | HMO | $3,179.70 | ↑ +186% |
| AMERIHEALTH | REGIONAL HMO | $3,270.47 | ↑ +194% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |