Consultation/report referred material w/preparation of slides at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$58.39
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.
$355.00
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.
$58.39 with WELLCARE vs $349.18 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $58.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $58.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $61.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $63.65 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $65.68 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $70.07 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $72.78 | ↑ +25% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $88.12 | ↑ +51% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +75% |
| OXFORD | ALL PRODUCTS | $192.06 | ↑ +229% |
| KARNA | MEDICARE ADVANTAGE | $207.34 | ↑ +255% |
| HORIZON | MANAGED MEDICAID | $225.00 | ↑ +285% |
| HORIZON | PIP | $231.11 | ↑ +296% |
| HORIZON | WORKERS COMP | $238.52 | ↑ +308% |
| HORIZON | OMNIA | $256.35 | ↑ +339% |
| BERGEN RISK | ALL PRODUCTS | $266.25 | ↑ +356% |
| AETNA | ASA | $277.97 | ↑ +376% |
| CIGNA | BH | $284.00 | ↑ +386% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $284.00 | ↑ +386% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $301.75 | ↑ +417% |
| AETNA | PPO | $302.46 | ↑ +418% |
| AETNA | HMO | $302.46 | ↑ +418% |
| HORIZON | SHP | $304.73 | ↑ +422% |
| AMERIHEALTH | LOCAL HMO | $308.28 | ↑ +428% |
| HORIZON | INDEMNITY | $315.95 | ↑ +441% |
| HORIZON | HMO | $316.16 | ↑ +441% |
| QUALCARE | WORKERS COMP | $322.34 | ↑ +452% |
| QUALCARE | HMO | $322.34 | ↑ +452% |
| QUALCARE | PPO | $322.34 | ↑ +452% |
| HORIZON | PPO | $324.54 | ↑ +456% |
| CIGNA | PPO | $339.49 | ↑ +481% |
| CIGNA | HMO | $339.49 | ↑ +481% |
| AMERIHEALTH | REGIONAL HMO | $349.18 | ↑ +498% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $49.06 – $215.42 |
| Ocean University Medical Center | Brick | $58.39 | $36.30 – $207.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $36.30 – $215.42 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $207.34 |
| Palisades Medical Center | North Bergen | $62.92 | $54.12 – $215.42 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $215.42 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $207.34 |