Ins cath ren art 2nd+ uni at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,907.78
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.
$11,265.00
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.
$701.62 with KARNA vs $11,080.25 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 | $701.62 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $2,027.70 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $2,084.03 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,309.33 | ↓ -61% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,907.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,907.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,907.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,907.78 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $6,094.37 | ↑ +3% |
| OXFORD | ALL PRODUCTS | $6,094.37 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,203.17 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,439.48 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,635.09 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $7,089.34 | ↑ +20% |
| HORIZON | PIP | $7,333.52 | ↑ +24% |
| HORIZON | WORKERS COMP | $7,568.95 | ↑ +28% |
| HORIZON | OMNIA | $8,134.46 | ↑ +38% |
| BERGEN RISK | ALL PRODUCTS | $8,448.75 | ↑ +43% |
| AETNA | ASA | $8,820.50 | ↑ +49% |
| CIGNA | BH | $9,012.00 | ↑ +53% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,012.00 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,575.25 | ↑ +62% |
| HORIZON | SHP | $9,669.88 | ↑ +64% |
| AMERIHEALTH | LOCAL HMO | $9,782.53 | ↑ +66% |
| HORIZON | INDEMNITY | $10,025.85 | ↑ +70% |
| HORIZON | HMO | $10,032.61 | ↑ +70% |
| AETNA | HMO | $10,140.75 | ↑ +72% |
| AETNA | PPO | $10,140.75 | ↑ +72% |
| QUALCARE | WORKERS COMP | $10,228.62 | ↑ +73% |
| QUALCARE | HMO | $10,228.62 | ↑ +73% |
| QUALCARE | PPO | $10,228.62 | ↑ +73% |
| HORIZON | PPO | $10,298.46 | ↑ +74% |
| CIGNA | PPO | $10,772.72 | ↑ +82% |
| CIGNA | HMO | $10,772.72 | ↑ +82% |
| AMERIHEALTH | REGIONAL HMO | $11,080.25 | ↑ +88% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ uni at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,641.43 – $12,129.52 |
| Community Medical Center | Toms River | $3,786.00 | $1,641.43 – $11,756.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,641.43 – $12,068.87 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,329.90 – $12,668.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,641.43 – $11,906.87 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $5,983.35 – $7,180.02 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $718.86 – $6,684.38 |
| Ocean University Medical Center | Brick | $5,907.78 | $701.62 – $7,089.34 |