Ntsty modul rad tx dlvr cplx at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$632.20
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.
$5,830.00
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.
$632.20 with VACCN vs $5,329.79 with HORIZON — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $632.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $632.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $632.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $632.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $663.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $689.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $758.64 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $934.53 | ↑ +48% |
| CLOVER | MEDICARE ADVANTAGE | $1,049.40 | ↑ +66% |
| AETNA | MANAGED MEDICAID | $1,078.55 | ↑ +71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,195.15 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $1,695.95 | ↑ +168% |
| AMERIHEALTH | REGIONAL HMO | $1,855.11 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +328% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +336% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,089.90 | ↑ +389% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,433.87 | ↑ +443% |
| HORIZON | PIP | $3,795.33 | ↑ +500% |
| HORIZON | WORKERS COMP | $3,917.18 | ↑ +520% |
| HORIZON | OMNIA | $4,209.84 | ↑ +566% |
| BERGEN RISK | ALL PRODUCTS | $4,372.50 | ↑ +592% |
| AETNA | ASA | $4,564.89 | ↑ +622% |
| CIGNA | BH | $4,664.00 | ↑ +638% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,955.50 | ↑ +684% |
| CIGNA | HMO | $4,981.71 | ↑ +688% |
| CIGNA | PPO | $4,981.71 | ↑ +688% |
| HORIZON | SHP | $5,004.47 | ↑ +692% |
| HORIZON | INDEMNITY | $5,188.70 | ↑ +721% |
| HORIZON | HMO | $5,192.20 | ↑ +721% |
| QUALCARE | PPO | $5,293.64 | ↑ +737% |
| QUALCARE | HMO | $5,293.64 | ↑ +737% |
| QUALCARE | WORKERS COMP | $5,293.64 | ↑ +737% |
| AETNA | PPO | $5,326.29 | ↑ +743% |
| AETNA | HMO | $5,326.29 | ↑ +743% |
| HORIZON | PPO | $5,329.79 | ↑ +743% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ntsty modul rad tx dlvr cplx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,259.09 | $411.47 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,394.51 | $649.00 – $2,511.00 |
| Community Medical Center | Toms River | $1,391.23 | $632.20 – $2,395.00 |
| Clara Maass Medical Center | Belleville | $1,383.34 | $649.00 – $2,396.00 |
| Newark Beth Israel Medical Center | Newark | $1,370.82 | $649.00 – $2,396.00 |
| Jersey City Medical Center | Jersey City | $1,393.92 | $681.24 – $2,395.00 |
| Monmouth Medical Center | Long Branch | $1,467.71 | $640.29 – $2,407.00 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $2,774.00 |