Dcm pq ndl dsk sgl/mlt lv lmbr w/guide at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,134.14
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.
$9,407.00
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.
$1,189.00 with UNITED HEALTHCARE vs $14,007.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $1,250.57 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -21% |
| CLOVER | MEDICARE ADVANTAGE | $1,693.26 | ↓ -21% |
| AETNA | MANAGED MEDICAID | $1,740.30 | ↓ -18% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,928.44 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,134.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,134.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,240.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,326.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,560.97 | ↑ +20% |
| QUALCARE | HMO | $2,744.00 | ↑ +29% |
| HORIZON | PIP | $6,123.96 | ↑ +187% |
| HORIZON | WORKERS COMP | $6,320.56 | ↑ +196% |
| HORIZON | OMNIA | $6,792.79 | ↑ +218% |
| BERGEN RISK | ALL PRODUCTS | $7,055.25 | ↑ +231% |
| AETNA | ASA | $7,365.68 | ↑ +245% |
| CIGNA | BH | $7,525.60 | ↑ +253% |
| HORIZON | SHP | $7,963.00 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,995.95 | ↑ +275% |
| AMERIHEALTH | LOCAL HMO | $8,169.04 | ↑ +283% |
| HORIZON | INDEMNITY | $8,372.23 | ↑ +292% |
| HORIZON | HMO | $8,377.87 | ↑ +293% |
| CIGNA | HMO | $8,455.95 | ↑ +296% |
| CIGNA | PPO | $8,455.95 | ↑ +296% |
| QUALCARE | PPO | $8,541.56 | ↑ +300% |
| QUALCARE | WORKERS COMP | $8,541.56 | ↑ +300% |
| HORIZON | PPO | $8,599.88 | ↑ +303% |
| AMERIHEALTH | REGIONAL HMO | $9,252.73 | ↑ +334% |
| AETNA | PPO | $9,383.00 | ↑ +340% |
| AETNA | HMO | $9,383.00 | ↑ +340% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +365% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +427% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +556% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,161.44 | $2,161.44 – $2,593.73 |
| Hackensack University Medical Center | Hackensack | $2,299.70 | $1,295.56 – $2,414.68 |
| Ocean University Medical Center | Brick | $2,134.14 | $1,250.57 – $2,560.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $1,295.56 – $2,163.32 |
| Jersey Shore University Medical Center | Neptune City | $2,161.44 | $1,250.57 – $2,593.73 |
| Palisades Medical Center | North Bergen | $2,299.70 | $1,295.56 – $2,506.67 |
| Raritan Bay Medical Center | Perth Amboy | $2,163.32 | $1,295.56 – $2,595.98 |
| Riverview Medical Center | Red Bank | $2,161.44 | $1,250.57 – $2,593.73 |