Hdr rdncl ntrstl/icav brchtx at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$758.25
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.
$7,370.00
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.
$640.81 with KARNA vs $7,047.93 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $640.81 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $758.25 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $758.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $758.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $758.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $796.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $826.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $909.90 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,326.60 | ↑ +75% |
| AETNA | MANAGED MEDICAID | $1,363.45 | ↑ +80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,510.85 | ↑ +99% |
| AMERIHEALTH | LOCAL HMO | $2,143.93 | ↑ +183% |
| AMERIHEALTH | REGIONAL HMO | $2,345.13 | ↑ +209% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +256% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +264% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,906.10 | ↑ +415% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $4,340.93 | ↑ +472% |
| HORIZON | PIP | $4,797.87 | ↑ +533% |
| HORIZON | WORKERS COMP | $4,951.90 | ↑ +553% |
| HORIZON | OMNIA | $5,321.88 | ↑ +602% |
| BERGEN RISK | ALL PRODUCTS | $5,527.50 | ↑ +629% |
| AETNA | ASA | $5,770.71 | ↑ +661% |
| CIGNA | BH | $5,896.00 | ↑ +678% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,264.50 | ↑ +726% |
| HORIZON | SHP | $6,326.41 | ↑ +734% |
| HORIZON | INDEMNITY | $6,559.30 | ↑ +765% |
| HORIZON | HMO | $6,563.72 | ↑ +766% |
| QUALCARE | PPO | $6,691.96 | ↑ +783% |
| QUALCARE | HMO | $6,691.96 | ↑ +783% |
| QUALCARE | WORKERS COMP | $6,691.96 | ↑ +783% |
| AETNA | PPO | $6,733.23 | ↑ +788% |
| AETNA | HMO | $6,733.23 | ↑ +788% |
| HORIZON | PPO | $6,737.65 | ↑ +789% |
| CIGNA | PPO | $7,047.93 | ↑ +829% |
| CIGNA | HMO | $7,047.93 | ↑ +829% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $767.95 | $767.95 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $817.07 | $265.97 – $3,250.00 |
| Ocean University Medical Center | Brick | $758.25 | $293.00 – $2,630.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $768.62 | $293.00 – $2,997.00 |
| Jersey Shore University Medical Center | Neptune City | $767.95 | $640.81 – $2,789.00 |
| Palisades Medical Center | North Bergen | $817.07 | $293.40 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $768.62 | $673.86 – $2,746.00 |
| Riverview Medical Center | Red Bank | $767.95 | $640.81 – $2,749.00 |