Design mlc device for imrt at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$400.07
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.
$3,280.00
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.
$400.07 with WELLCARE vs $3,190.61 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $400.07 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $400.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $400.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $400.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $420.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $436.08 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $480.08 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $590.40 | ↑ +48% |
| AETNA | MANAGED MEDICAID | $606.80 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $672.40 | ↑ +68% |
| KARNA | MEDICARE ADVANTAGE | $856.03 | ↑ +114% |
| AMERIHEALTH | LOCAL HMO | $954.15 | ↑ +138% |
| AMERIHEALTH | REGIONAL HMO | $1,043.70 | ↑ +161% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,738.40 | ↑ +335% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,931.92 | ↑ +383% |
| HORIZON | PIP | $2,135.28 | ↑ +434% |
| HORIZON | WORKERS COMP | $2,203.83 | ↑ +451% |
| HORIZON | OMNIA | $2,368.49 | ↑ +492% |
| BERGEN RISK | ALL PRODUCTS | $2,460.00 | ↑ +515% |
| AETNA | ASA | $2,568.24 | ↑ +542% |
| CIGNA | BH | $2,624.00 | ↑ +556% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +576% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +590% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,788.00 | ↑ +597% |
| HORIZON | SHP | $2,815.55 | ↑ +604% |
| HORIZON | INDEMNITY | $2,919.20 | ↑ +630% |
| HORIZON | HMO | $2,921.17 | ↑ +630% |
| QUALCARE | HMO | $2,978.24 | ↑ +644% |
| QUALCARE | PPO | $2,978.24 | ↑ +644% |
| QUALCARE | WORKERS COMP | $2,978.24 | ↑ +644% |
| AETNA | HMO | $2,996.61 | ↑ +649% |
| AETNA | PPO | $2,996.61 | ↑ +649% |
| HORIZON | PPO | $2,998.58 | ↑ +650% |
| CIGNA | PPO | $3,190.61 | ↑ +698% |
| CIGNA | HMO | $3,190.61 | ↑ +698% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Design mlc device for imrt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $405.19 | $405.19 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $431.11 | $332.53 – $3,250.00 |
| Ocean University Medical Center | Brick | $400.07 | $293.00 – $3,190.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $405.54 | $293.00 – $2,997.00 |
| Jersey Shore University Medical Center | Neptune City | $405.19 | $405.19 – $4,410.35 |
| Palisades Medical Center | North Bergen | $431.11 | $366.82 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $405.54 | $405.54 – $2,746.00 |
| Riverview Medical Center | Red Bank | $405.19 | $405.19 – $3,190.61 |