Dx aly aud oi snd prcsr 1st at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$170.99
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.
$452.00
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.
$81.36 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $81.36 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $83.62 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.66 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $117.02 | ↓ -32% |
| VACCN | ALL PRODUCTS | $170.99 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $170.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $186.38 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $266.23 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $286.48 | ↑ +68% |
| HORIZON | PIP | $294.25 | ↑ +72% |
| HORIZON | WORKERS COMP | $303.70 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $321.33 | ↑ +88% |
| HORIZON | OMNIA | $326.39 | ↑ +91% |
| BERGEN RISK | ALL PRODUCTS | $339.00 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $352.00 | ↑ +106% |
| AETNA | ASA | $353.92 | ↑ +107% |
| CIGNA | BH | $361.60 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $384.20 | ↑ +125% |
| HORIZON | SHP | $388.00 | ↑ +127% |
| HORIZON | INDEMNITY | $402.28 | ↑ +135% |
| HORIZON | HMO | $402.55 | ↑ +135% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $406.80 | ↑ +138% |
| AETNA | PPO | $406.89 | ↑ +138% |
| AETNA | HMO | $406.89 | ↑ +138% |
| QUALCARE | WORKERS COMP | $410.42 | ↑ +140% |
| QUALCARE | PPO | $410.42 | ↑ +140% |
| QUALCARE | HMO | $410.42 | ↑ +140% |
| HORIZON | PPO | $413.22 | ↑ +142% |
| CIGNA | HMO | $432.25 | ↑ +153% |
| CIGNA | PPO | $432.25 | ↑ +153% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +172% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +208% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dx aly aud oi snd prcsr 1st at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $121.02 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $33.82 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $33.82 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $117.02 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $86.51 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $109.79 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $117.02 – $465.00 |