Av fusion direct any site at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,439.84
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.
$13,750.00
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.
$1,189.00 with UNITED HEALTHCARE vs $14,007.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $1,326.73 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -60% |
| QUALCARE | HMO | $2,255.00 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $2,475.00 | ↓ -28% |
| AETNA | MANAGED MEDICAID | $2,543.75 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,818.75 | ↓ -18% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| CIGNA | HMO | $3,586.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,749.43 | ↑ +9% |
| CIGNA | PPO | $4,011.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | OMNIA | $7,049.00 | ↑ +105% |
| HORIZON | SHP | $7,963.00 | ↑ +131% |
| HORIZON | INDEMNITY | $8,703.00 | ↑ +153% |
| HORIZON | HMO | $8,706.00 | ↑ +153% |
| HORIZON | PPO | $8,936.00 | ↑ +160% |
| HORIZON | PIP | $8,951.25 | ↑ +160% |
| HORIZON | WORKERS COMP | $9,238.63 | ↑ +169% |
| AETNA | HMO | $9,383.00 | ↑ +173% |
| AETNA | PPO | $9,383.00 | ↑ +173% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +189% |
| QUALCARE | PPO | $10,197.00 | ↑ +196% |
| QUALCARE | WORKERS COMP | $10,197.00 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $10,312.50 | ↑ +200% |
| AETNA | ASA | $10,766.25 | ↑ +213% |
| CIGNA | BH | $11,000.00 | ↑ +220% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +227% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,687.50 | ↑ +240% |
| AMERIHEALTH | LOCAL HMO | $11,940.50 | ↑ +247% |
| AMERIHEALTH | REGIONAL HMO | $13,524.50 | ↑ +293% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +307% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Av fusion direct any site at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $1,356.03 – $3,892.02 |
| Ocean University Medical Center | Brick | $3,439.84 | $1,326.73 – $4,127.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $506.00 – $3,486.86 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $1,326.73 – $4,180.61 |
| Palisades Medical Center | North Bergen | $3,706.68 | $1,356.03 – $4,040.29 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $1,356.03 – $4,184.24 |
| Riverview Medical Center | Red Bank | $3,483.84 | $1,326.73 – $4,180.61 |