Consultation/report referred slides prepared elsewhere at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$42.90
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.
not published by hospital
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.
$42.90 with VACCN vs $145.31 with KARNA — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $42.90 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $42.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $46.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $51.47 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $69.46 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $69.46 | ↑ +62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $125.02 | ↑ +191% |
| KARNA | MEDICARE ADVANTAGE | $145.31 | ↑ +239% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $69.46 |
| Hackensack University Medical Center | Hackensack | $46.22 | $36.98 – $149.86 |
| Ocean University Medical Center | Brick | $42.90 | $30.80 – $145.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $30.80 – $149.86 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $43.44 – $145.31 |
| Palisades Medical Center | North Bergen | $46.22 | $45.92 – $149.86 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $43.48 – $149.86 |
| Riverview Medical Center | Red Bank | $43.44 | $32.20 – $145.31 |