Diab manage trn ind/group at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$19.66
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.
$138.00
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.
$19.66 with AMERIGROUP vs $527.00 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $19.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $23.59 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $24.84 | ↑ +26% |
| AETNA | MANAGED MEDICAID | $25.53 | ↑ +30% |
| KARNA | MEDICARE ADVANTAGE | $27.41 | ↑ +39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $28.29 | ↑ +44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $81.28 | ↑ +313% |
| HORIZON | MANAGED MEDICAID | $87.46 | ↑ +345% |
| HORIZON | PIP | $89.84 | ↑ +357% |
| HORIZON | WORKERS COMP | $92.72 | ↑ +372% |
| HORIZON | OMNIA | $99.65 | ↑ +407% |
| BERGEN RISK | ALL PRODUCTS | $103.50 | ↑ +426% |
| AETNA | ASA | $108.05 | ↑ +450% |
| CIGNA | BH | $110.40 | ↑ +462% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $117.30 | ↑ +497% |
| HORIZON | SHP | $118.46 | ↑ +503% |
| HORIZON | INDEMNITY | $122.82 | ↑ +525% |
| HORIZON | HMO | $122.90 | ↑ +525% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $124.20 | ↑ +532% |
| AETNA | HMO | $124.23 | ↑ +532% |
| AETNA | PPO | $124.23 | ↑ +532% |
| QUALCARE | HMO | $125.30 | ↑ +537% |
| QUALCARE | PPO | $125.30 | ↑ +537% |
| QUALCARE | WORKERS COMP | $125.30 | ↑ +537% |
| HORIZON | PPO | $126.16 | ↑ +542% |
| CIGNA | PPO | $131.97 | ↑ +571% |
| CIGNA | HMO | $131.97 | ↑ +571% |
| UNITED HEALTHCARE | HMO | $235.00 | ↑ +1095% |
| OXFORD | ALL PRODUCTS | $237.00 | ↑ +1105% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +2265% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +2581% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Diab manage trn ind/group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.66 | $19.66 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $19.66 | $15.73 – $443.00 |
| Palisades Medical Center | North Bergen | $19.66 | $19.66 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $19.66 | $19.66 – $308.00 |
| Riverview Medical Center | Red Bank | $19.66 | $19.66 – $465.00 |