Auditory function + 15 min at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
$188.00
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.
$30.36 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $30.36 | — |
| CLOVER | MEDICARE ADVANTAGE | $33.84 | — |
| AETNA | MANAGED MEDICAID | $34.78 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $38.54 | — |
| AETNA | MEDICARE ADVANTAGE | $39.29 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $110.73 | — |
| HORIZON | MANAGED MEDICAID | $119.15 | — |
| HORIZON | PIP | $122.39 | — |
| HORIZON | WORKERS COMP | $126.32 | — |
| OXFORD | ALL PRODUCTS | $133.65 | — |
| HORIZON | OMNIA | $135.75 | — |
| BERGEN RISK | ALL PRODUCTS | $141.00 | — |
| AETNA | ASA | $147.20 | — |
| CIGNA | BH | $150.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $159.80 | — |
| HORIZON | SHP | $161.38 | — |
| HORIZON | INDEMNITY | $167.32 | — |
| HORIZON | HMO | $167.43 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $169.20 | — |
| AETNA | PPO | $169.24 | — |
| AETNA | HMO | $169.24 | — |
| QUALCARE | PPO | $170.70 | — |
| QUALCARE | HMO | $170.70 | — |
| QUALCARE | WORKERS COMP | $170.70 | — |
| HORIZON | PPO | $171.87 | — |
| CIGNA | HMO | $179.78 | — |
| CIGNA | PPO | $179.78 | — |
| UNITED HEALTHCARE | HMO | $352.00 | — |
| AMERIHEALTH | LOCAL HMO | $465.00 | — |
| AMERIHEALTH | REGIONAL HMO | $527.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Auditory function + 15 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $44.99 | $11.37 – $51.17 |
| Monmouth Medical Center | Long Branch | $41.35 | $55.76 – $55.76 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $28.68 | $26.86 – $26.86 |
| Robert Wood Johnson University Hospital | New Brunswick | $46.07 | $25.67 – $55.12 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $29.57 | $11.70 – $25.67 |
| Trinitas Regional Medical Center | Elizabeth | not published | $11.05 – $44.37 |
| Cooperman Barnabas Medical Center | Livingston | not published | $28.22 – $28.22 |
| Community Medical Center | Toms River | not published | $28.90 – $28.90 |