Hla i & ii type verify lr at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$404.52
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.
$397.00
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.
$73.45 with AETNA vs $1,853.65 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $73.45 | ↓ -82% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $233.83 | ↓ -42% |
| HORIZON | PIP | $258.45 | ↓ -36% |
| HORIZON | WORKERS COMP | $266.74 | ↓ -34% |
| HORIZON | OMNIA | $286.67 | ↓ -29% |
| BERGEN RISK | ALL PRODUCTS | $297.75 | ↓ -26% |
| AETNA | ASA | $310.85 | ↓ -23% |
| CIGNA | BH | $317.60 | ↓ -21% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $337.45 | ↓ -17% |
| AETNA | PPO | $338.24 | ↓ -16% |
| AETNA | HMO | $338.24 | ↓ -16% |
| HORIZON | SHP | $340.78 | ↓ -16% |
| AMERIHEALTH | LOCAL HMO | $344.75 | ↓ -15% |
| HORIZON | INDEMNITY | $353.33 | ↓ -13% |
| HORIZON | HMO | $353.57 | ↓ -13% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $357.30 | ↓ -12% |
| QUALCARE | PPO | $360.48 | ↓ -11% |
| QUALCARE | WORKERS COMP | $360.48 | ↓ -11% |
| QUALCARE | HMO | $360.48 | ↓ -11% |
| HORIZON | PPO | $362.94 | ↓ -10% |
| AMERIHEALTH | REGIONAL HMO | $390.49 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $404.52 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $404.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $404.52 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $404.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $404.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $404.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $424.75 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $440.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $485.42 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $526.89 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $830.28 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $830.28 | ↑ +105% |
| CIGNA | PPO | $1,853.65 | ↑ +358% |
| CIGNA | HMO | $1,853.65 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hla i & ii type verify lr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $404.52 | $404.52 – $1,853.65 |
| Hackensack University Medical Center | Hackensack | $404.52 | $196.75 – $1,816.49 |
| Ocean University Medical Center | Brick | $404.52 | $355.98 – $1,853.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $404.52 | $355.98 – $1,903.77 |
| Jersey Shore University Medical Center | Neptune City | $404.52 | $323.62 – $1,853.65 |
| Palisades Medical Center | North Bergen | $404.52 | $217.04 – $1,853.65 |
| Raritan Bay Medical Center | Perth Amboy | $404.52 | $404.52 – $1,853.65 |
| Riverview Medical Center | Red Bank | $404.52 | $404.52 – $1,853.65 |