Manipulation chest wall demonstration/evaluation subsequent at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$140.87
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.
$208.00
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.
$37.44 with CLOVER vs $655.00 with UNITED HEALTHCARE — 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 | $37.44 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $38.48 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $42.64 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $67.60 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $122.51 | ↓ -13% |
| HORIZON | MANAGED MEDICAID | $131.83 | ↓ -6% |
| HORIZON | PIP | $135.41 | ↓ -4% |
| HORIZON | WORKERS COMP | $139.76 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $140.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.92 | ↑ +5% |
| HORIZON | OMNIA | $150.20 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $153.55 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $156.00 | ↑ +11% |
| AETNA | ASA | $162.86 | ↑ +16% |
| CIGNA | BH | $166.40 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $176.80 | ↑ +26% |
| HORIZON | SHP | $178.55 | ↑ +27% |
| AMERIHEALTH | LOCAL HMO | $180.63 | ↑ +28% |
| HORIZON | INDEMNITY | $185.12 | ↑ +31% |
| HORIZON | HMO | $185.24 | ↑ +31% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $187.20 | ↑ +33% |
| AETNA | HMO | $187.24 | ↑ +33% |
| AETNA | PPO | $187.24 | ↑ +33% |
| QUALCARE | PPO | $188.86 | ↑ +34% |
| QUALCARE | WORKERS COMP | $188.86 | ↑ +34% |
| QUALCARE | HMO | $188.86 | ↑ +34% |
| HORIZON | PPO | $190.15 | ↑ +35% |
| CIGNA | HMO | $198.91 | ↑ +41% |
| CIGNA | PPO | $198.91 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $204.59 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $525.00 | ↑ +273% |
| UNITED HEALTHCARE | HMO | $655.00 | ↑ +365% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $40.54 | $99.72 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $65.47 | $69.72 – $289.24 |
| Community Medical Center | Toms River | $44.79 | $71.40 – $280.33 |
| Clara Maass Medical Center | Belleville | $40.97 | $68.88 – $287.79 |
| Childrens Specialized Hospital | Mountainside | $56.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $64.36 | $126.42 – $289.24 |
| Jersey City Medical Center | Jersey City | $44.88 | $75.60 – $302.08 |
| Monmouth Medical Center | Long Branch | $47.26 | $137.76 – $283.91 |