Hlth bhv assmt/reassessment at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$101.09
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.
$232.00
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.
$41.76 with CLOVER vs $228.20 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $41.76 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $42.92 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $47.56 | ↓ -53% |
| HORIZON | BH | $48.88 | ↓ -52% |
| WELLCARE | MANAGED MEDICAID | $101.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $101.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $101.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $101.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $106.15 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $110.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $121.31 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $136.65 | ↑ +35% |
| KARNA | MEDICARE ADVANTAGE | $143.37 | ↑ +42% |
| HORIZON | MANAGED MEDICAID | $147.04 | ↑ +45% |
| HORIZON | PIP | $151.03 | ↑ +49% |
| HORIZON | WORKERS COMP | $155.88 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $164.93 | ↑ +63% |
| HORIZON | OMNIA | $167.53 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $174.00 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $180.22 | ↑ +78% |
| AETNA | ASA | $181.66 | ↑ +80% |
| CIGNA | BH | $185.60 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $197.20 | ↑ +95% |
| HORIZON | SHP | $199.15 | ↑ +97% |
| AMERIHEALTH | LOCAL HMO | $201.47 | ↑ +99% |
| HORIZON | INDEMNITY | $206.48 | ↑ +104% |
| HORIZON | HMO | $206.62 | ↑ +104% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $208.80 | ↑ +107% |
| AETNA | HMO | $208.85 | ↑ +107% |
| AETNA | PPO | $208.85 | ↑ +107% |
| QUALCARE | HMO | $210.66 | ↑ +108% |
| QUALCARE | PPO | $210.66 | ↑ +108% |
| QUALCARE | WORKERS COMP | $210.66 | ↑ +108% |
| HORIZON | PPO | $212.09 | ↑ +110% |
| CIGNA | PPO | $221.86 | ↑ +119% |
| CIGNA | HMO | $221.86 | ↑ +119% |
| AMERIHEALTH | REGIONAL HMO | $228.20 | ↑ +126% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv assmt/reassessment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Hackensack University Medical Center | Hackensack | $108.93 | $87.15 – $146.97 |
| Ocean University Medical Center | Brick | $101.09 | $92.50 – $143.37 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $48.88 – $146.97 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $48.88 – $143.37 |
| Palisades Medical Center | North Bergen | $108.93 | $105.59 – $146.97 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $102.47 – $146.97 |
| Riverview Medical Center | Red Bank | $102.38 | $102.38 – $143.37 |