Cmptr ophth dx img ant segmt at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$64.92
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.
$222.00
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.
$39.96 with CLOVER vs $212.30 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $39.96 | ↓ -38% |
| AETNA | MANAGED MEDICAID | $41.07 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $45.51 | ↓ -30% |
| AMERIHEALTH | LOCAL HMO | $52.71 | ↓ -19% |
| KARNA | MEDICARE ADVANTAGE | $52.86 | ↓ -19% |
| AMERIHEALTH | REGIONAL HMO | $53.62 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $64.92 | ↑ +0% |
| VACCN | ALL PRODUCTS | $64.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $70.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $77.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $130.76 | ↑ +101% |
| HORIZON | MANAGED MEDICAID | $140.70 | ↑ +117% |
| HORIZON | PIP | $144.52 | ↑ +123% |
| HORIZON | WORKERS COMP | $149.16 | ↑ +130% |
| OXFORD | ALL PRODUCTS | $157.82 | ↑ +143% |
| HORIZON | OMNIA | $160.31 | ↑ +147% |
| BERGEN RISK | ALL PRODUCTS | $166.50 | ↑ +156% |
| UNITED HEALTHCARE | HMO | $172.45 | ↑ +166% |
| AETNA | ASA | $173.83 | ↑ +168% |
| CIGNA | BH | $177.60 | ↑ +174% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $188.70 | ↑ +191% |
| HORIZON | SHP | $190.56 | ↑ +194% |
| HORIZON | INDEMNITY | $197.58 | ↑ +204% |
| HORIZON | HMO | $197.71 | ↑ +205% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $199.80 | ↑ +208% |
| AETNA | HMO | $199.84 | ↑ +208% |
| AETNA | PPO | $199.84 | ↑ +208% |
| QUALCARE | PPO | $201.58 | ↑ +211% |
| QUALCARE | HMO | $201.58 | ↑ +211% |
| QUALCARE | WORKERS COMP | $201.58 | ↑ +211% |
| HORIZON | PPO | $202.95 | ↑ +213% |
| CIGNA | PPO | $212.30 | ↑ +227% |
| CIGNA | HMO | $212.30 | ↑ +227% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cmptr ophth dx img ant segmt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $52.71 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $23.62 – $4,994.00 |
| Ocean University Medical Center | Brick | $64.92 | $52.71 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $47.13 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $51.80 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $26.06 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $52.71 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $52.71 – $78.90 |