Dstr mal ls f/e/e/n/l/m2.1-3 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$436.64
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.
$1,002.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| CLOVER | MEDICARE ADVANTAGE | $180.36 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $185.37 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $205.41 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $351.92 | ↓ -19% |
| WELLCARE | MEDICARE ADVANTAGE | $436.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $436.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $436.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $436.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $458.47 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $475.94 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $523.97 | ↑ +20% |
| HORIZON | PIP | $652.30 | ↑ +49% |
| HORIZON | WORKERS COMP | $673.24 | ↑ +54% |
| HORIZON | OMNIA | $723.54 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $751.50 | ↑ +72% |
| AETNA | ASA | $784.57 | ↑ +80% |
| CIGNA | BH | $801.60 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $851.70 | ↑ +95% |
| HORIZON | SHP | $860.12 | ↑ +97% |
| AMERIHEALTH | LOCAL HMO | $870.14 | ↑ +99% |
| HORIZON | INDEMNITY | $891.78 | ↑ +104% |
| HORIZON | HMO | $892.38 | ↑ +104% |
| QUALCARE | PPO | $909.82 | ↑ +108% |
| QUALCARE | WORKERS COMP | $909.82 | ↑ +108% |
| HORIZON | PPO | $916.03 | ↑ +110% |
| AMERIHEALTH | REGIONAL HMO | $985.57 | ↑ +126% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +172% |
| QUALCARE | HMO | $1,525.00 | ↑ +249% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +285% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +550% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +668% |
| AETNA | PPO | $9,383.00 | ↑ +2049% |
| AETNA | HMO | $9,383.00 | ↑ +2049% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2175% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dstr mal ls f/e/e/n/l/m2.1-3 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $364.07 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $351.92 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $177.74 – $442.61 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $351.92 – $530.67 |
| Palisades Medical Center | North Bergen | $470.51 | $364.07 – $512.86 |
| Raritan Bay Medical Center | Perth Amboy | $442.61 | $364.07 – $531.13 |
| Riverview Medical Center | Red Bank | $442.22 | $351.92 – $530.67 |