Bilicheck at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5.02
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.
$55.00
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.
$5.02 with CLOVER vs $54.10 with AMERIHEALTH — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $5.02 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5.02 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5.02 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $5.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5.02 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.02 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $5.47 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6.02 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $6.54 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $10.18 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $10.30 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11.52 | ↑ +129% |
| CIGNA | PPO | $23.00 | ↑ +358% |
| CIGNA | HMO | $23.00 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $29.76 | ↑ +493% |
| HORIZON | MANAGED MEDICAID | $34.86 | ↑ +594% |
| HORIZON | PIP | $35.81 | ↑ +613% |
| HORIZON | WORKERS COMP | $36.95 | ↑ +636% |
| HORIZON | OMNIA | $39.72 | ↑ +691% |
| BERGEN RISK | ALL PRODUCTS | $41.25 | ↑ +722% |
| AETNA | ASA | $43.07 | ↑ +758% |
| CIGNA | BH | $44.00 | ↑ +776% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $44.00 | ↑ +776% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46.75 | ↑ +831% |
| AETNA | HMO | $46.86 | ↑ +833% |
| AETNA | PPO | $46.86 | ↑ +833% |
| HORIZON | SHP | $47.21 | ↑ +840% |
| AMERIHEALTH | LOCAL HMO | $47.76 | ↑ +851% |
| HORIZON | INDEMNITY | $48.95 | ↑ +875% |
| HORIZON | HMO | $48.98 | ↑ +876% |
| QUALCARE | HMO | $49.94 | ↑ +895% |
| QUALCARE | WORKERS COMP | $49.94 | ↑ +895% |
| QUALCARE | PPO | $49.94 | ↑ +895% |
| HORIZON | PPO | $50.28 | ↑ +902% |
| AMERIHEALTH | REGIONAL HMO | $54.10 | ↑ +978% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bilicheck at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5.02 | $5.02 – $23.00 |
| Hackensack University Medical Center | Hackensack | $5.02 | $4.02 – $22.54 |
| Ocean University Medical Center | Brick | $5.02 | $4.42 – $23.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5.02 | $4.42 – $23.63 |
| Jersey Shore University Medical Center | Neptune City | $5.02 | $4.02 – $23.00 |
| Palisades Medical Center | North Bergen | $5.02 | $4.66 – $23.00 |
| Raritan Bay Medical Center | Perth Amboy | $5.02 | $5.02 – $23.00 |
| Riverview Medical Center | Red Bank | $5.02 | $3.27 – $23.00 |