Application clubfoot cast at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$172.45
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.
?
What you pay up front if you don't use insurance.
$367.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| CLOVER | MEDICARE ADVANTAGE | $66.06 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $67.90 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $75.24 | ↓ -56% |
| VACCN | ALL PRODUCTS | $172.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $172.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $172.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $172.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $187.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $206.93 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $231.21 | ↑ +34% |
| HORIZON | PIP | $238.92 | ↑ +39% |
| HORIZON | WORKERS COMP | $246.59 | ↑ +43% |
| HORIZON | OMNIA | $265.01 | ↑ +54% |
| BERGEN RISK | ALL PRODUCTS | $275.25 | ↑ +60% |
| AETNA | ASA | $287.36 | ↑ +67% |
| CIGNA | BH | $293.60 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $311.95 | ↑ +81% |
| HORIZON | SHP | $315.03 | ↑ +83% |
| AMERIHEALTH | LOCAL HMO | $318.70 | ↑ +85% |
| HORIZON | INDEMNITY | $326.63 | ↑ +89% |
| HORIZON | HMO | $326.85 | ↑ +90% |
| QUALCARE | PPO | $333.24 | ↑ +93% |
| QUALCARE | WORKERS COMP | $333.24 | ↑ +93% |
| QUALCARE | HMO | $333.24 | ↑ +93% |
| HORIZON | PPO | $335.51 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $360.98 | ↑ +109% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +589% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +874% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +1545% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1844% |
| AETNA | PPO | $9,383.00 | ↑ +5341% |
| AETNA | HMO | $9,383.00 | ↑ +5341% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +5660% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Application clubfoot cast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $174.65 | $174.65 – $209.58 |
| Hackensack University Medical Center | Hackensack | $185.82 | $148.66 – $238.12 |
| Ocean University Medical Center | Brick | $172.45 | $157.79 – $231.21 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $174.80 | $157.79 – $238.12 |
| Jersey Shore University Medical Center | Neptune City | $174.65 | $174.65 – $231.21 |
| Palisades Medical Center | North Bergen | $185.82 | $185.82 – $238.12 |
| Raritan Bay Medical Center | Perth Amboy | $174.80 | $174.80 – $238.12 |
| Riverview Medical Center | Red Bank | $174.65 | $174.65 – $231.21 |