Ghs alpha thalasemia, 7 deletions at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$102.26
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.
$2,200.00
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.
$76.90 with HORIZON vs $756.39 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $76.90 | ↓ -25% |
| WELLCARE | MEDICARE ADVANTAGE | $102.26 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $102.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $102.26 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $102.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $102.26 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $102.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $107.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $111.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $122.71 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $133.19 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $142.27 | ↑ +39% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.65 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $209.89 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $416.03 | ↑ +307% |
| CIGNA | HMO | $468.59 | ↑ +358% |
| CIGNA | PPO | $468.59 | ↑ +358% |
| HORIZON | PIP | $500.62 | ↑ +390% |
| HORIZON | WORKERS COMP | $516.69 | ↑ +405% |
| HORIZON | OMNIA | $555.29 | ↑ +443% |
| BERGEN RISK | ALL PRODUCTS | $576.75 | ↑ +464% |
| AETNA | ASA | $602.13 | ↑ +489% |
| CIGNA | BH | $615.20 | ↑ +502% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $615.20 | ↑ +502% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $653.65 | ↑ +539% |
| AETNA | HMO | $655.19 | ↑ +541% |
| AETNA | PPO | $655.19 | ↑ +541% |
| HORIZON | SHP | $660.11 | ↑ +546% |
| AMERIHEALTH | LOCAL HMO | $667.80 | ↑ +553% |
| HORIZON | INDEMNITY | $684.41 | ↑ +569% |
| HORIZON | HMO | $684.87 | ↑ +570% |
| QUALCARE | HMO | $698.25 | ↑ +583% |
| QUALCARE | WORKERS COMP | $698.25 | ↑ +583% |
| QUALCARE | PPO | $698.25 | ↑ +583% |
| HORIZON | PPO | $703.02 | ↑ +587% |
| AMERIHEALTH | REGIONAL HMO | $756.39 | ↑ +640% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $102.26 | $102.26 – $468.59 |
| Hackensack University Medical Center | Hackensack | $102.26 | $81.81 – $459.20 |
| Ocean University Medical Center | Brick | $102.26 | $89.99 – $468.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.26 | $89.99 – $481.26 |
| Jersey Shore University Medical Center | Neptune City | $102.26 | $81.81 – $468.59 |
| Palisades Medical Center | North Bergen | $102.26 | $102.26 – $468.59 |
| Raritan Bay Medical Center | Perth Amboy | $102.26 | $102.26 – $468.59 |
| Riverview Medical Center | Red Bank | $102.26 | $102.26 – $468.59 |