Apply rem fixation device at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,749.06
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.
$2,945.00
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.
$493.92 with KARNA vs $10,149.00 with HORIZON — 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 | $493.92 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $530.10 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $544.83 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $603.73 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,734.61 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $1,749.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,749.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,836.51 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $1,866.54 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,906.47 | ↑ +9% |
| HORIZON | PIP | $1,917.20 | ↑ +10% |
| OXFORD | ALL PRODUCTS | $2,093.60 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $2,098.87 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,208.75 | ↑ +26% |
| UNITED HEALTHCARE | HMO | $2,287.68 | ↑ +31% |
| AETNA | ASA | $2,305.94 | ↑ +32% |
| CIGNA | BH | $2,356.00 | ↑ +35% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,503.25 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $2,557.44 | ↑ +46% |
| CIGNA | PPO | $2,647.26 | ↑ +51% |
| CIGNA | HMO | $2,647.26 | ↑ +51% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,650.50 | ↑ +52% |
| AETNA | HMO | $2,651.09 | ↑ +52% |
| AETNA | PPO | $2,651.09 | ↑ +52% |
| QUALCARE | PPO | $2,674.06 | ↑ +53% |
| QUALCARE | WORKERS COMP | $2,674.06 | ↑ +53% |
| QUALCARE | HMO | $2,674.06 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $2,896.70 | ↑ +66% |
| HORIZON | OMNIA | $6,368.00 | ↑ +264% |
| HORIZON | SHP | $7,264.00 | ↑ +315% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +350% |
| HORIZON | HMO | $7,869.00 | ↑ +350% |
| HORIZON | PPO | $8,077.00 | ↑ +362% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +480% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Apply rem fixation device at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |
| Hackensack University Medical Center | Hackensack | $1,884.74 | $504.71 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $493.92 – $2,098.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $504.71 – $1,772.97 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $493.92 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $504.71 – $2,054.37 |
| Raritan Bay Medical Center | Perth Amboy | $1,772.97 | $504.71 – $2,127.56 |
| Riverview Medical Center | Red Bank | $1,771.43 | $493.92 – $2,125.72 |