Autoimmune rheumatoid arthr anl 12 mrk ia at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$840.65
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.
$2,178.00
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.
$217.80 with HORIZON vs $3,852.15 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $217.80 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $402.93 | ↓ -52% |
| WELLCARE | MANAGED MEDICAID | $840.65 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $840.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $840.65 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $840.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $840.65 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $840.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $882.68 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $916.31 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $927.85 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $1,008.78 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,094.95 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $1,178.30 | ↑ +40% |
| HORIZON | PIP | $1,417.88 | ↑ +69% |
| HORIZON | WORKERS COMP | $1,463.40 | ↑ +74% |
| HORIZON | OMNIA | $1,572.73 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $1,633.50 | ↑ +94% |
| AETNA | ASA | $1,705.37 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $1,725.43 | ↑ +105% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,742.40 | ↑ +107% |
| CIGNA | BH | $1,742.40 | ↑ +107% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,851.30 | ↑ +120% |
| AETNA | PPO | $1,855.66 | ↑ +121% |
| AETNA | HMO | $1,855.66 | ↑ +121% |
| HORIZON | SHP | $1,869.60 | ↑ +122% |
| AMERIHEALTH | LOCAL HMO | $1,891.38 | ↑ +125% |
| HORIZON | INDEMNITY | $1,938.42 | ↑ +131% |
| HORIZON | HMO | $1,939.73 | ↑ +131% |
| QUALCARE | PPO | $1,977.62 | ↑ +135% |
| QUALCARE | HMO | $1,977.62 | ↑ +135% |
| QUALCARE | WORKERS COMP | $1,977.62 | ↑ +135% |
| HORIZON | PPO | $1,991.13 | ↑ +137% |
| AMERIHEALTH | REGIONAL HMO | $2,142.28 | ↑ +155% |
| CIGNA | PPO | $3,852.15 | ↑ +358% |
| CIGNA | HMO | $3,852.15 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $840.65 | $840.65 – $3,852.15 |
| Hackensack University Medical Center | Hackensack | $840.65 | $672.52 – $3,774.93 |
| Ocean University Medical Center | Brick | $840.65 | $739.77 – $3,852.15 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $840.65 | $739.77 – $3,956.30 |
| Jersey Shore University Medical Center | Neptune City | $840.65 | $672.52 – $3,852.15 |
| Palisades Medical Center | North Bergen | $840.65 | $840.65 – $3,852.15 |
| Raritan Bay Medical Center | Perth Amboy | $840.65 | $840.65 – $3,852.15 |
| Riverview Medical Center | Red Bank | $840.65 | $840.65 – $3,852.15 |