Hlth bhv ivntj fam 1st 30 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$32.56
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.
?
What you pay up front if you don't use insurance.
$279.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.73 with HORIZON vs $274.42 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | BH | $30.73 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32.56 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $39.07 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $50.22 | ↑ +54% |
| AETNA | MANAGED MEDICAID | $51.62 | ↑ +59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $57.20 | ↑ +76% |
| KARNA | MEDICARE ADVANTAGE | $101.20 | ↑ +211% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $164.33 | ↑ +405% |
| HORIZON | MANAGED MEDICAID | $176.83 | ↑ +443% |
| HORIZON | PIP | $181.63 | ↑ +458% |
| HORIZON | WORKERS COMP | $187.46 | ↑ +476% |
| OXFORD | ALL PRODUCTS | $198.34 | ↑ +509% |
| HORIZON | OMNIA | $201.47 | ↑ +519% |
| BERGEN RISK | ALL PRODUCTS | $209.25 | ↑ +543% |
| UNITED HEALTHCARE | HMO | $216.73 | ↑ +566% |
| AETNA | ASA | $218.46 | ↑ +571% |
| CIGNA | BH | $223.20 | ↑ +586% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $237.15 | ↑ +628% |
| HORIZON | SHP | $239.49 | ↑ +636% |
| AMERIHEALTH | LOCAL HMO | $242.28 | ↑ +644% |
| HORIZON | INDEMNITY | $248.31 | ↑ +663% |
| HORIZON | HMO | $248.48 | ↑ +663% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $251.10 | ↑ +671% |
| AETNA | HMO | $251.16 | ↑ +671% |
| AETNA | PPO | $251.16 | ↑ +671% |
| QUALCARE | HMO | $253.33 | ↑ +678% |
| QUALCARE | PPO | $253.33 | ↑ +678% |
| QUALCARE | WORKERS COMP | $253.33 | ↑ +678% |
| HORIZON | PPO | $255.06 | ↑ +683% |
| CIGNA | PPO | $266.81 | ↑ +719% |
| CIGNA | HMO | $266.81 | ↑ +719% |
| AMERIHEALTH | REGIONAL HMO | $274.42 | ↑ +743% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj fam 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Hackensack University Medical Center | Hackensack | $35.08 | $28.07 – $103.65 |
| Ocean University Medical Center | Brick | $32.56 | $29.79 – $101.20 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $29.79 – $103.65 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $30.73 – $101.20 |
| Palisades Medical Center | North Bergen | $35.08 | $35.08 – $103.65 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $33.00 – $103.65 |
| Riverview Medical Center | Red Bank | $32.97 | $32.97 – $101.20 |