Interrog dev eval icpms ip at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$40.75
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.
$123.00
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.
$22.14 with CLOVER vs $120.98 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 | $22.14 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $22.76 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $25.22 | ↓ -38% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $40.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $40.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $42.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.42 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $48.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $72.45 | ↑ +78% |
| HORIZON | MANAGED MEDICAID | $77.96 | ↑ +91% |
| HORIZON | PIP | $80.07 | ↑ +96% |
| HORIZON | WORKERS COMP | $82.64 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $87.44 | ↑ +115% |
| HORIZON | OMNIA | $88.82 | ↑ +118% |
| KARNA | MEDICARE ADVANTAGE | $89.68 | ↑ +120% |
| BERGEN RISK | ALL PRODUCTS | $92.25 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $95.55 | ↑ +134% |
| AETNA | ASA | $96.31 | ↑ +136% |
| CIGNA | BH | $98.40 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $104.55 | ↑ +157% |
| HORIZON | SHP | $105.58 | ↑ +159% |
| AMERIHEALTH | LOCAL HMO | $106.81 | ↑ +162% |
| HORIZON | INDEMNITY | $109.47 | ↑ +169% |
| HORIZON | HMO | $109.54 | ↑ +169% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $110.70 | ↑ +172% |
| AETNA | HMO | $110.72 | ↑ +172% |
| AETNA | PPO | $110.72 | ↑ +172% |
| QUALCARE | PPO | $111.68 | ↑ +174% |
| QUALCARE | HMO | $111.68 | ↑ +174% |
| QUALCARE | WORKERS COMP | $111.68 | ↑ +174% |
| HORIZON | PPO | $112.45 | ↑ +176% |
| CIGNA | HMO | $117.62 | ↑ +189% |
| CIGNA | PPO | $117.62 | ↑ +189% |
| AMERIHEALTH | REGIONAL HMO | $120.98 | ↑ +197% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $34.57 | $28.26 – $83.68 |
| Monmouth Medical Center | Long Branch | $44.63 | $41.27 – $82.13 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $89.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $34.22 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $89.68 |
| Palisades Medical Center | North Bergen | $43.91 | $33.71 – $93.98 |