Ghs st - eval for alt comm at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$42.90
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.
$195.00
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.
$17.67 with KARNA vs $527.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $17.67 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $35.10 | ↓ -18% |
| AETNA | MANAGED MEDICAID | $36.08 | ↓ -16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $39.98 | ↓ -7% |
| VACCN | ALL PRODUCTS | $42.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $42.90 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $46.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $51.47 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $114.86 | ↑ +168% |
| HORIZON | MANAGED MEDICAID | $123.59 | ↑ +188% |
| HORIZON | PIP | $126.95 | ↑ +196% |
| HORIZON | WORKERS COMP | $131.02 | ↑ +205% |
| OXFORD | ALL PRODUCTS | $138.63 | ↑ +223% |
| HORIZON | OMNIA | $140.81 | ↑ +228% |
| BERGEN RISK | ALL PRODUCTS | $146.25 | ↑ +241% |
| AETNA | ASA | $152.69 | ↑ +256% |
| CIGNA | BH | $156.00 | ↑ +264% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $165.75 | ↑ +286% |
| HORIZON | SHP | $167.39 | ↑ +290% |
| HORIZON | INDEMNITY | $173.55 | ↑ +305% |
| HORIZON | HMO | $173.67 | ↑ +305% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $175.50 | ↑ +309% |
| AETNA | HMO | $175.54 | ↑ +309% |
| AETNA | PPO | $175.54 | ↑ +309% |
| QUALCARE | PPO | $177.06 | ↑ +313% |
| QUALCARE | HMO | $177.06 | ↑ +313% |
| QUALCARE | WORKERS COMP | $177.06 | ↑ +313% |
| HORIZON | PPO | $178.27 | ↑ +316% |
| CIGNA | PPO | $186.48 | ↑ +335% |
| CIGNA | HMO | $186.48 | ↑ +335% |
| UNITED HEALTHCARE | HMO | $352.00 | ↑ +721% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +984% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +1128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - eval for alt comm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $465.00 |
| Hackensack University Medical Center | Hackensack | $46.22 | $18.25 – $487.00 |
| Ocean University Medical Center | Brick | $42.90 | $17.67 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $18.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $17.67 – $443.00 |
| Palisades Medical Center | North Bergen | $46.22 | $18.25 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $18.25 – $105.00 |
| Riverview Medical Center | Red Bank | $43.44 | $17.67 – $465.00 |