Bld exchange truj oth thn nb at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$477.79
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.
$1,335.00
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.
$240.30 with CLOVER vs $1,313.11 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $240.30 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $246.98 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $251.72 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $273.68 | ↓ -43% |
| OXFORD | ALL PRODUCTS | $359.00 | ↓ -25% |
| VACCN | ALL PRODUCTS | $477.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $477.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $477.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $477.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $501.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $520.79 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $573.34 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $786.32 | ↑ +65% |
| HORIZON | MANAGED MEDICAID | $846.12 | ↑ +77% |
| HORIZON | PIP | $869.09 | ↑ +82% |
| HORIZON | WORKERS COMP | $896.99 | ↑ +88% |
| HORIZON | OMNIA | $964.00 | ↑ +102% |
| BERGEN RISK | ALL PRODUCTS | $1,001.25 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $1,037.03 | ↑ +117% |
| AETNA | ASA | $1,045.31 | ↑ +119% |
| CIGNA | BH | $1,068.00 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,134.75 | ↑ +137% |
| HORIZON | SHP | $1,145.96 | ↑ +140% |
| AMERIHEALTH | LOCAL HMO | $1,159.31 | ↑ +143% |
| HORIZON | INDEMNITY | $1,188.15 | ↑ +149% |
| HORIZON | HMO | $1,188.95 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,201.50 | ↑ +151% |
| AETNA | HMO | $1,201.77 | ↑ +152% |
| AETNA | PPO | $1,201.77 | ↑ +152% |
| QUALCARE | PPO | $1,212.18 | ↑ +154% |
| QUALCARE | HMO | $1,212.18 | ↑ +154% |
| QUALCARE | WORKERS COMP | $1,212.18 | ↑ +154% |
| HORIZON | PPO | $1,220.46 | ↑ +155% |
| CIGNA | HMO | $1,276.66 | ↑ +167% |
| CIGNA | PPO | $1,276.66 | ↑ +167% |
| AMERIHEALTH | REGIONAL HMO | $1,313.11 | ↑ +175% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bld exchange truj oth thn nb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $483.90 | $357.00 – $580.68 |
| Hackensack University Medical Center | Hackensack | $514.85 | $256.61 – $540.59 |
| Ocean University Medical Center | Brick | $477.79 | $108.38 – $477.79 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $484.32 | $108.38 – $484.32 |
| Jersey Shore University Medical Center | Neptune City | $483.90 | $251.72 – $580.68 |
| Palisades Medical Center | North Bergen | $514.85 | $206.64 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $484.32 | $256.61 – $581.18 |
| Riverview Medical Center | Red Bank | $483.90 | $251.72 – $580.68 |