Gba gene at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$47.25
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.
$386.00
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.
$9.60 with HORIZON vs $216.52 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $9.60 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $17.76 | ↓ -62% |
| WELLCARE | MANAGED MEDICAID | $47.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $47.25 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $47.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $47.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $47.25 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $47.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $49.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $51.50 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $51.94 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $56.70 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $61.54 | ↑ +30% |
| HORIZON | PIP | $62.50 | ↑ +32% |
| HORIZON | WORKERS COMP | $64.50 | ↑ +37% |
| HORIZON | OMNIA | $69.32 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $72.00 | ↑ +52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $74.23 | ↑ +57% |
| AETNA | ASA | $75.17 | ↑ +59% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $76.80 | ↑ +63% |
| CIGNA | BH | $76.80 | ↑ +63% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $81.60 | ↑ +73% |
| AETNA | HMO | $81.79 | ↑ +73% |
| AETNA | PPO | $81.79 | ↑ +73% |
| HORIZON | SHP | $82.41 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $83.37 | ↑ +76% |
| HORIZON | INDEMNITY | $85.44 | ↑ +81% |
| HORIZON | HMO | $85.50 | ↑ +81% |
| QUALCARE | WORKERS COMP | $87.17 | ↑ +84% |
| QUALCARE | PPO | $87.17 | ↑ +84% |
| QUALCARE | HMO | $87.17 | ↑ +84% |
| HORIZON | PPO | $87.76 | ↑ +86% |
| AMERIHEALTH | REGIONAL HMO | $94.43 | ↑ +100% |
| UNITED HEALTHCARE | HMO | $96.98 | ↑ +105% |
| CIGNA | HMO | $216.52 | ↑ +358% |
| CIGNA | PPO | $216.52 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Gba gene at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $47.25 | $47.25 – $216.52 |
| Hackensack University Medical Center | Hackensack | $47.25 | $37.80 – $212.18 |
| Ocean University Medical Center | Brick | $47.25 | $41.58 – $216.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $47.25 | $41.58 – $222.37 |
| Jersey Shore University Medical Center | Neptune City | $47.25 | $37.80 – $216.52 |
| Palisades Medical Center | North Bergen | $47.25 | $47.25 – $216.52 |
| Raritan Bay Medical Center | Perth Amboy | $47.25 | $47.25 – $216.52 |
| Riverview Medical Center | Red Bank | $47.25 | $47.25 – $216.52 |