Npsy grp hlth intrv ea addl 15 min at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
$85.00
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.
$1.98 with HORIZON vs $83.61 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 | BH | $1.98 | — |
| KARNA | MEDICARE ADVANTAGE | $6.55 | — |
| CLOVER | MEDICARE ADVANTAGE | $15.30 | — |
| AETNA | MANAGED MEDICAID | $15.73 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.43 | — |
| AETNA | MEDICARE ADVANTAGE | $17.77 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.07 | — |
| HORIZON | MANAGED MEDICAID | $53.87 | — |
| HORIZON | PIP | $55.34 | — |
| HORIZON | WORKERS COMP | $57.11 | — |
| OXFORD | ALL PRODUCTS | $60.43 | — |
| HORIZON | OMNIA | $61.38 | — |
| BERGEN RISK | ALL PRODUCTS | $63.75 | — |
| UNITED HEALTHCARE | HMO | $66.03 | — |
| AETNA | ASA | $66.56 | — |
| CIGNA | BH | $68.00 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $72.25 | — |
| HORIZON | SHP | $72.96 | — |
| AMERIHEALTH | LOCAL HMO | $73.81 | — |
| HORIZON | INDEMNITY | $75.65 | — |
| HORIZON | HMO | $75.70 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $76.50 | — |
| AETNA | HMO | $76.52 | — |
| AETNA | PPO | $76.52 | — |
| QUALCARE | HMO | $77.18 | — |
| QUALCARE | WORKERS COMP | $77.18 | — |
| QUALCARE | PPO | $77.18 | — |
| HORIZON | PPO | $77.71 | — |
| CIGNA | PPO | $81.29 | — |
| CIGNA | HMO | $81.29 | — |
| AMERIHEALTH | REGIONAL HMO | $83.61 | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Npsy grp hlth intrv ea addl 15 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $61.50 | $5.41 – $5.41 |
| Trinitas Regional Medical Center | Elizabeth | not published | $1.98 – $2.34 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1.98 – $1.98 |
| Community Medical Center | Toms River | not published | $1.98 – $1.98 |
| Clara Maass Medical Center | Belleville | not published | $1.98 – $1.98 |
| Newark Beth Israel Medical Center | Newark | not published | $1.98 – $2.40 |
| Jersey City Medical Center | Jersey City | not published | $1.98 – $3.02 |
| Monmouth Medical Center | Long Branch | not published | $1.98 – $1.98 |