Aortic dysfunction/dilation at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,350.19
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.
$6,703.00
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.
$624.93 with AETNA vs $6,187.04 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $624.93 | ↓ -54% |
| WELLCARE | MEDICARE ADVANTAGE | $1,350.19 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,350.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $1,350.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,350.19 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $1,350.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,350.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,417.70 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,471.71 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,620.23 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,758.62 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $1,827.50 | ↑ +35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,121.15 | ↑ +57% |
| HORIZON | MANAGED MEDICAID | $2,140.98 | ↑ +59% |
| HORIZON | PIP | $2,199.08 | ↑ +63% |
| HORIZON | WORKERS COMP | $2,269.68 | ↑ +68% |
| HORIZON | OMNIA | $2,439.25 | ↑ +81% |
| BERGEN RISK | ALL PRODUCTS | $2,533.50 | ↑ +88% |
| AETNA | ASA | $2,644.97 | ↑ +96% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,702.40 | ↑ +100% |
| CIGNA | BH | $2,702.40 | ↑ +100% |
| UNITED HEALTHCARE | HMO | $2,771.26 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,871.30 | ↑ +113% |
| AETNA | PPO | $2,878.06 | ↑ +113% |
| AETNA | HMO | $2,878.06 | ↑ +113% |
| HORIZON | SHP | $2,899.68 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $2,933.46 | ↑ +117% |
| HORIZON | INDEMNITY | $3,006.42 | ↑ +123% |
| HORIZON | HMO | $3,008.45 | ↑ +123% |
| QUALCARE | PPO | $3,067.22 | ↑ +127% |
| QUALCARE | HMO | $3,067.22 | ↑ +127% |
| QUALCARE | WORKERS COMP | $3,067.22 | ↑ +127% |
| HORIZON | PPO | $3,088.17 | ↑ +129% |
| AMERIHEALTH | REGIONAL HMO | $3,322.60 | ↑ +146% |
| CIGNA | PPO | $6,187.04 | ↑ +358% |
| CIGNA | HMO | $6,187.04 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Aortic dysfunction/dilation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,350.19 | $1,350.19 – $6,187.04 |
| Hackensack University Medical Center | Hackensack | $1,350.19 | $1,080.15 – $6,063.01 |
| Ocean University Medical Center | Brick | $1,350.19 | $1,188.17 – $6,187.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,350.19 | $1,188.17 – $6,354.32 |
| Jersey Shore University Medical Center | Neptune City | $1,350.19 | $1,080.15 – $6,187.04 |
| Palisades Medical Center | North Bergen | $1,350.19 | $1,350.19 – $6,187.04 |
| Raritan Bay Medical Center | Perth Amboy | $1,350.19 | $1,350.19 – $6,187.04 |
| Riverview Medical Center | Red Bank | $1,350.19 | $1,350.19 – $6,187.04 |