Mgmt promoter methylation analysis at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$124.64
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.
$605.00
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.
$111.93 with AETNA vs $595.08 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $111.93 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $124.64 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $124.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $124.64 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $124.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $124.64 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $124.64 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $130.41 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $130.87 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $135.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $149.57 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $162.34 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $255.82 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $327.31 | ↑ +163% |
| HORIZON | MANAGED MEDICAID | $383.45 | ↑ +208% |
| HORIZON | PIP | $393.86 | ↑ +216% |
| HORIZON | WORKERS COMP | $406.50 | ↑ +226% |
| HORIZON | OMNIA | $436.87 | ↑ +251% |
| BERGEN RISK | ALL PRODUCTS | $453.75 | ↑ +264% |
| AETNA | ASA | $473.72 | ↑ +280% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $484.00 | ↑ +288% |
| CIGNA | BH | $484.00 | ↑ +288% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $514.25 | ↑ +313% |
| AETNA | PPO | $515.46 | ↑ +314% |
| AETNA | HMO | $515.46 | ↑ +314% |
| HORIZON | SHP | $519.33 | ↑ +317% |
| AMERIHEALTH | LOCAL HMO | $525.38 | ↑ +322% |
| HORIZON | INDEMNITY | $538.45 | ↑ +332% |
| HORIZON | HMO | $538.81 | ↑ +332% |
| QUALCARE | WORKERS COMP | $549.34 | ↑ +341% |
| QUALCARE | PPO | $549.34 | ↑ +341% |
| QUALCARE | HMO | $549.34 | ↑ +341% |
| HORIZON | PPO | $553.09 | ↑ +344% |
| CIGNA | PPO | $571.14 | ↑ +358% |
| CIGNA | HMO | $571.14 | ↑ +358% |
| AMERIHEALTH | REGIONAL HMO | $595.08 | ↑ +377% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mgmt promoter methylation analysis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $137.10 | $58.58 – $508.71 |
| Cooperman Barnabas Medical Center | Livingston | $137.10 | $58.58 – $508.71 |
| Community Medical Center | Toms River | $137.10 | $58.58 – $508.71 |
| Clara Maass Medical Center | Belleville | $137.10 | $58.58 – $508.71 |
| Newark Beth Israel Medical Center | Newark | $137.10 | $58.58 – $508.71 |
| Jersey City Medical Center | Jersey City | $137.10 | $58.58 – $508.71 |
| Monmouth Medical Center | Long Branch | $137.10 | $58.58 – $508.71 |
| Bayshore Medical Center | Holmdel | $124.64 | $124.64 – $571.14 |