Npsy tst eval phsy/qhp 1st hr at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$579.88
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.
$798.00
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.
$68.60 with HORIZON vs $784.91 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 | $68.60 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $143.64 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $147.63 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $163.59 | ↓ -72% |
| KARNA | MEDICARE ADVANTAGE | $171.37 | ↓ -70% |
| OXFORD | ALL PRODUCTS | $396.00 | ↓ -32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $470.02 | ↓ -19% |
| HORIZON | MANAGED MEDICAID | $505.77 | ↓ -13% |
| HORIZON | PIP | $519.50 | ↓ -10% |
| HORIZON | WORKERS COMP | $536.18 | ↓ -8% |
| HORIZON | OMNIA | $576.24 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $579.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $579.88 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $598.50 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $608.88 | ↑ +5% |
| AETNA | ASA | $624.83 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $632.07 | ↑ +9% |
| CIGNA | BH | $638.40 | ↑ +10% |
| UNITED HEALTHCARE | HMO | $651.00 | ↑ +12% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $678.30 | ↑ +17% |
| HORIZON | SHP | $685.00 | ↑ +18% |
| AMERIHEALTH | LOCAL HMO | $692.98 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $695.86 | ↑ +20% |
| HORIZON | INDEMNITY | $710.22 | ↑ +22% |
| HORIZON | HMO | $710.70 | ↑ +23% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $718.20 | ↑ +24% |
| AETNA | PPO | $718.36 | ↑ +24% |
| AETNA | HMO | $718.36 | ↑ +24% |
| QUALCARE | HMO | $724.58 | ↑ +25% |
| QUALCARE | PPO | $724.58 | ↑ +25% |
| QUALCARE | WORKERS COMP | $724.58 | ↑ +25% |
| HORIZON | PPO | $729.53 | ↑ +26% |
| CIGNA | PPO | $763.13 | ↑ +32% |
| CIGNA | HMO | $763.13 | ↑ +32% |
| AMERIHEALTH | REGIONAL HMO | $784.91 | ↑ +35% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp 1st hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $270.50 | $258.00 – $258.00 |
| Bayshore Medical Center | Holmdel | $587.30 | $393.00 – $640.16 |
| Hackensack University Medical Center | Hackensack | $624.87 | $175.80 – $1,673.00 |
| Ocean University Medical Center | Brick | $579.88 | $154.00 – $566.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $68.60 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $68.60 – $640.16 |
| Palisades Medical Center | North Bergen | $624.87 | $142.00 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $175.80 – $705.37 |