Evaluation psychiatric diagnostic at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$175.59
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.
$790.00
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.
$142.20 with CLOVER vs $777.04 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 | $142.20 | ↓ -19% |
| AETNA | MANAGED MEDICAID | $146.15 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $161.95 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| VACCN | ALL PRODUCTS | $175.59 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $175.59 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $184.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $191.40 | ↑ +9% |
| HORIZON | BH | $205.44 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $210.71 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $241.07 | ↑ +37% |
| OXFORD | ALL PRODUCTS | $396.00 | ↑ +126% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $465.31 | ↑ +165% |
| HORIZON | MANAGED MEDICAID | $500.70 | ↑ +185% |
| HORIZON | PIP | $514.29 | ↑ +193% |
| HORIZON | WORKERS COMP | $530.80 | ↑ +202% |
| HORIZON | OMNIA | $570.46 | ↑ +225% |
| BERGEN RISK | ALL PRODUCTS | $592.50 | ↑ +237% |
| AETNA | ASA | $618.57 | ↑ +252% |
| CIGNA | BH | $632.00 | ↑ +260% |
| UNITED HEALTHCARE | HMO | $651.00 | ↑ +271% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $671.50 | ↑ +282% |
| HORIZON | SHP | $678.14 | ↑ +286% |
| AMERIHEALTH | LOCAL HMO | $686.04 | ↑ +291% |
| HORIZON | INDEMNITY | $703.10 | ↑ +300% |
| HORIZON | HMO | $703.57 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $711.00 | ↑ +305% |
| AETNA | HMO | $711.16 | ↑ +305% |
| AETNA | PPO | $711.16 | ↑ +305% |
| QUALCARE | PPO | $717.32 | ↑ +309% |
| QUALCARE | HMO | $717.32 | ↑ +309% |
| QUALCARE | WORKERS COMP | $717.32 | ↑ +309% |
| HORIZON | PPO | $722.22 | ↑ +311% |
| CIGNA | HMO | $755.48 | ↑ +330% |
| CIGNA | PPO | $755.48 | ↑ +330% |
| AMERIHEALTH | REGIONAL HMO | $777.04 | ↑ +343% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Evaluation psychiatric diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $316.00 | $114.55 – $395.00 |
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $491.00 |
| Hackensack University Medical Center | Hackensack | $189.21 | $151.37 – $1,673.00 |
| Ocean University Medical Center | Brick | $175.59 | $154.00 – $491.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $177.99 | $154.00 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $177.84 – $491.00 |
| Palisades Medical Center | North Bergen | $189.21 | $189.21 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $177.99 – $389.00 |