Mrgfus strtctc ablt trgt icr at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$13,628.55
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.
$44,792.00
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.
$6,368.00 with HORIZON vs $44,057.41 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 |
|---|---|---|---|
| HORIZON | OMNIA | $6,368.00 | ↓ -53% |
| HORIZON | SHP | $7,264.00 | ↓ -47% |
| HORIZON | INDEMNITY | $7,867.00 | ↓ -42% |
| HORIZON | HMO | $7,869.00 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $8,062.56 | ↓ -41% |
| HORIZON | PPO | $8,077.00 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $8,286.52 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,182.36 | ↓ -33% |
| HORIZON | WORKERS COMP | $10,149.00 | ↓ -26% |
| WELLCARE | MEDICARE ADVANTAGE | $13,628.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13,628.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13,628.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13,628.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14,309.98 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14,855.12 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16,354.26 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26,382.49 | ↑ +94% |
| HORIZON | MANAGED MEDICAID | $28,389.17 | ↑ +108% |
| HORIZON | PIP | $29,159.59 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $31,842.63 | ↑ +134% |
| BERGEN RISK | ALL PRODUCTS | $33,594.00 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $34,794.43 | ↑ +155% |
| AETNA | ASA | $35,072.14 | ↑ +157% |
| CIGNA | BH | $35,833.60 | ↑ +163% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $38,073.20 | ↑ +179% |
| AMERIHEALTH | LOCAL HMO | $38,897.37 | ↑ +185% |
| CIGNA | HMO | $40,263.53 | ↑ +195% |
| CIGNA | PPO | $40,263.53 | ↑ +195% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $40,312.80 | ↑ +196% |
| AETNA | HMO | $40,321.76 | ↑ +196% |
| AETNA | PPO | $40,321.76 | ↑ +196% |
| QUALCARE | PPO | $40,671.14 | ↑ +198% |
| QUALCARE | HMO | $40,671.14 | ↑ +198% |
| QUALCARE | WORKERS COMP | $40,671.14 | ↑ +198% |
| AMERIHEALTH | REGIONAL HMO | $44,057.41 | ↑ +223% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mrgfus strtctc ablt trgt icr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13,802.89 | $13,802.89 – $16,563.46 |
| Hackensack University Medical Center | Hackensack | $14,685.79 | $747.20 – $15,420.07 |
| Ocean University Medical Center | Brick | $13,628.55 | $12,470.31 – $16,354.26 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13,814.86 | $12,470.31 – $13,814.86 |
| Jersey Shore University Medical Center | Neptune City | $13,802.89 | $13,802.89 – $16,563.46 |
| Palisades Medical Center | North Bergen | $14,685.79 | $824.25 – $16,007.51 |
| Raritan Bay Medical Center | Perth Amboy | $13,814.86 | $13,814.86 – $16,577.83 |
| Riverview Medical Center | Red Bank | $13,802.89 | $13,802.89 – $16,563.46 |