Coombs direct 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.
?
What you pay up front if you don't use insurance.
$180.00
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.
$5.39 with SEOUL MEDICAL GROUP vs $77.90 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.39 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $5.39 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $7.02 | ↓ -89% |
| UNITED HEALTHCARE | HMO | $11.06 | ↓ -83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11.78 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $13.32 | ↓ -79% |
| CIGNA | PPO | $24.70 | ↓ -62% |
| CIGNA | HMO | $24.70 | ↓ -62% |
| OXFORD | ALL PRODUCTS | $38.95 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $45.63 | ↓ -30% |
| HORIZON | PIP | $46.87 | ↓ -28% |
| HORIZON | WORKERS COMP | $48.38 | ↓ -25% |
| HORIZON | OMNIA | $51.99 | ↓ -20% |
| BERGEN RISK | ALL PRODUCTS | $54.00 | ↓ -17% |
| AETNA | ASA | $56.38 | ↓ -13% |
| CIGNA | BH | $57.60 | ↓ -11% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $57.60 | ↓ -11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $61.20 | ↓ -6% |
| AETNA | HMO | $61.34 | ↓ -6% |
| AETNA | PPO | $61.34 | ↓ -6% |
| HORIZON | SHP | $61.80 | ↓ -5% |
| AMERIHEALTH | LOCAL HMO | $62.52 | ↓ -4% |
| HORIZON | INDEMNITY | $64.08 | ↓ -1% |
| HORIZON | HMO | $64.12 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| VACCN | ALL PRODUCTS | $64.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $64.92 | ↑ +0% |
| QUALCARE | WORKERS COMP | $65.38 | ↑ +1% |
| QUALCARE | HMO | $65.38 | ↑ +1% |
| QUALCARE | PPO | $65.38 | ↑ +1% |
| HORIZON | PPO | $65.82 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $70.76 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $70.82 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $77.90 | ↑ +20% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Coombs direct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $5.39 – $71.66 |
| Hackensack University Medical Center | Hackensack | $69.95 | $5.39 – $73.45 |
| Ocean University Medical Center | Brick | $64.92 | $5.39 – $64.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $5.39 – $65.80 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $5.39 – $71.66 |
| Palisades Medical Center | North Bergen | $69.95 | $5.39 – $76.25 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $5.39 – $71.73 |
| Riverview Medical Center | Red Bank | $65.75 | $5.39 – $71.66 |