Exc benign tal 0.5 < cm 11400 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$768.94
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.
$1,645.00
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.
$177.86 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $177.86 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $296.10 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $304.33 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $337.23 | ↓ -56% |
| VACCN | ALL PRODUCTS | $768.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $768.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $768.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $768.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $807.39 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $838.14 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $922.73 | ↑ +20% |
| HORIZON | PIP | $1,070.90 | ↑ +39% |
| HORIZON | WORKERS COMP | $1,105.28 | ↑ +44% |
| HORIZON | OMNIA | $1,187.85 | ↑ +54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $1,233.75 | ↑ +60% |
| AETNA | ASA | $1,288.04 | ↑ +68% |
| CIGNA | BH | $1,316.00 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,398.25 | ↑ +82% |
| HORIZON | SHP | $1,412.07 | ↑ +84% |
| AMERIHEALTH | LOCAL HMO | $1,428.52 | ↑ +86% |
| HORIZON | INDEMNITY | $1,464.05 | ↑ +90% |
| HORIZON | HMO | $1,465.04 | ↑ +91% |
| QUALCARE | PPO | $1,493.66 | ↑ +94% |
| QUALCARE | WORKERS COMP | $1,493.66 | ↑ +94% |
| HORIZON | PPO | $1,503.86 | ↑ +96% |
| QUALCARE | HMO | $1,525.00 | ↑ +98% |
| AMERIHEALTH | REGIONAL HMO | $1,618.02 | ↑ +110% |
| CIGNA | HMO | $2,249.00 | ↑ +192% |
| CIGNA | PPO | $2,518.00 | ↑ +227% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +436% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +548% |
| AETNA | PPO | $9,383.00 | ↑ +1120% |
| AETNA | HMO | $9,383.00 | ↑ +1120% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1192% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exc benign tal 0.5 < cm 11400 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $185.36 – $870.02 |
| Ocean University Medical Center | Brick | $768.94 | $177.86 – $922.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $66.00 – $779.45 |
| Jersey Shore University Medical Center | Neptune City | $778.78 | $177.86 – $934.53 |
| Palisades Medical Center | North Bergen | $828.59 | $185.36 – $903.16 |
| Raritan Bay Medical Center | Perth Amboy | $779.45 | $185.36 – $935.34 |
| Riverview Medical Center | Red Bank | $778.78 | $177.86 – $934.53 |