Interrog&prgrmg ipnss polysm at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$327.77
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.
$864.00
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.
$155.52 with CLOVER vs $11,920.00 with BRIGHTON HEALTH PLAN — 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 | $155.52 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $159.84 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $165.63 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $177.12 | ↓ -46% |
| WELLCARE | MANAGED MEDICAID | $327.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $327.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $327.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $344.15 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $357.26 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $393.32 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $508.90 | ↑ +55% |
| HORIZON | MANAGED MEDICAID | $547.60 | ↑ +67% |
| HORIZON | PIP | $562.46 | ↑ +72% |
| HORIZON | WORKERS COMP | $580.52 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $614.22 | ↑ +87% |
| HORIZON | OMNIA | $623.89 | ↑ +90% |
| BERGEN RISK | ALL PRODUCTS | $648.00 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $671.16 | ↑ +105% |
| AETNA | ASA | $676.51 | ↑ +106% |
| CIGNA | BH | $691.20 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $734.40 | ↑ +124% |
| HORIZON | SHP | $741.66 | ↑ +126% |
| AMERIHEALTH | LOCAL HMO | $750.30 | ↑ +129% |
| HORIZON | INDEMNITY | $768.96 | ↑ +135% |
| HORIZON | HMO | $769.48 | ↑ +135% |
| QUALCARE | WORKERS COMP | $784.51 | ↑ +139% |
| QUALCARE | HMO | $784.51 | ↑ +139% |
| QUALCARE | PPO | $784.51 | ↑ +139% |
| HORIZON | PPO | $789.87 | ↑ +141% |
| CIGNA | HMO | $826.24 | ↑ +152% |
| CIGNA | PPO | $826.24 | ↑ +152% |
| AMERIHEALTH | REGIONAL HMO | $849.83 | ↑ +159% |
| AETNA | PPO | $9,383.00 | ↑ +2763% |
| AETNA | HMO | $9,383.00 | ↑ +2763% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +3537% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Interrog&prgrmg ipnss polysm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $331.96 | $331.96 – $398.35 |
| Hackensack University Medical Center | Hackensack | $353.19 | $170.67 – $370.85 |
| Ocean University Medical Center | Brick | $327.77 | $67.89 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $332.25 | $67.89 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $331.96 | $165.63 – $398.35 |
| Palisades Medical Center | North Bergen | $353.19 | $170.67 – $384.98 |
| Raritan Bay Medical Center | Perth Amboy | $332.25 | $170.67 – $398.70 |
| Riverview Medical Center | Red Bank | $331.96 | $165.63 – $398.35 |