Fam adapt bhv tx gdn phy/qhp at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$32.56
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.
$73.00
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.
$13.14 with CLOVER vs $651.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $13.14 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $13.51 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.97 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $21.44 | ↓ -34% |
| HORIZON | BH | $25.00 | ↓ -23% |
| WELLCARE | MANAGED MEDICAID | $32.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $39.07 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $43.00 | ↑ +32% |
| HORIZON | MANAGED MEDICAID | $46.27 | ↑ +42% |
| HORIZON | PIP | $47.52 | ↑ +46% |
| HORIZON | WORKERS COMP | $49.05 | ↑ +51% |
| HORIZON | OMNIA | $52.71 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $54.75 | ↑ +68% |
| AETNA | ASA | $57.16 | ↑ +76% |
| CIGNA | BH | $58.40 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $62.05 | ↑ +91% |
| HORIZON | SHP | $62.66 | ↑ +92% |
| AMERIHEALTH | LOCAL HMO | $63.39 | ↑ +95% |
| HORIZON | INDEMNITY | $64.97 | ↑ +100% |
| HORIZON | HMO | $65.01 | ↑ +100% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $65.70 | ↑ +102% |
| QUALCARE | WORKERS COMP | $66.28 | ↑ +104% |
| QUALCARE | PPO | $66.28 | ↑ +104% |
| QUALCARE | HMO | $66.28 | ↑ +104% |
| HORIZON | PPO | $66.74 | ↑ +105% |
| AETNA | PPO | $67.45 | ↑ +107% |
| AETNA | HMO | $67.45 | ↑ +107% |
| CIGNA | PPO | $69.81 | ↑ +114% |
| CIGNA | HMO | $69.81 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $71.80 | ↑ +121% |
| OXFORD | ALL PRODUCTS | $396.00 | ↑ +1116% |
| UNITED HEALTHCARE | HMO | $651.00 | ↑ +1899% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fam adapt bhv tx gdn phy/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $100.00 | $68.37 – $68.37 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $393.00 |
| Hackensack University Medical Center | Hackensack | $35.08 | $21.89 – $1,673.00 |
| Ocean University Medical Center | Brick | $32.56 | $21.44 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $21.89 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $21.44 – $426.00 |
| Palisades Medical Center | North Bergen | $35.08 | $21.89 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $21.89 – $389.00 |