Echo exam of fetal heart at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$599.23
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.
$1,045.00
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.
$147.94 with UNITED HEALTHCARE vs $1,307.42 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 | $147.94 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $188.10 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $193.33 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $214.23 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $222.78 | ↓ -63% |
| AMERIHEALTH | REGIONAL HMO | $226.63 | ↓ -62% |
| KARNA | MEDICARE ADVANTAGE | $480.71 | ↓ -20% |
| OXFORD | ALL PRODUCTS | $565.35 | ↓ -6% |
| WELLCARE | MANAGED MEDICAID | $599.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $599.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $599.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $599.23 | ↑ +0% |
| AETNA | PPO | $611.91 | ↑ +2% |
| AETNA | HMO | $611.91 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $629.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $653.16 | ↑ +9% |
| HORIZON | PIP | $680.30 | ↑ +14% |
| HORIZON | WORKERS COMP | $702.14 | ↑ +17% |
| CIGNA | HMO | $706.78 | ↑ +18% |
| CIGNA | PPO | $706.78 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $719.07 | ↑ +20% |
| HORIZON | OMNIA | $754.59 | ↑ +26% |
| BERGEN RISK | ALL PRODUCTS | $783.75 | ↑ +31% |
| AETNA | ASA | $818.24 | ↑ +37% |
| CIGNA | BH | $836.00 | ↑ +40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $888.25 | ↑ +48% |
| HORIZON | SHP | $897.03 | ↑ +50% |
| HORIZON | INDEMNITY | $930.05 | ↑ +55% |
| HORIZON | HMO | $930.68 | ↑ +55% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $940.50 | ↑ +57% |
| QUALCARE | PPO | $948.86 | ↑ +58% |
| QUALCARE | HMO | $948.86 | ↑ +58% |
| QUALCARE | WORKERS COMP | $948.86 | ↑ +58% |
| HORIZON | PPO | $955.34 | ↑ +59% |
| UNITED HEALTHCARE | HMO | $1,307.42 | ↑ +118% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $606.89 | $147.94 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $89.95 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $147.94 – $1,307.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $199.21 – $1,384.69 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $147.94 – $1,483.68 |
| Palisades Medical Center | North Bergen | $645.71 | $99.22 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $147.94 – $1,307.42 |
| Riverview Medical Center | Red Bank | $606.89 | $147.94 – $1,307.42 |