Ntsty modul rad tx dlvr smpl 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.
$4,510.00
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 WELLCARE vs $4,312.91 with CIGNA — 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $632.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $632.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $632.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $632.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $663.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $689.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $758.64 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $811.80 | ↑ +28% |
| AETNA | MANAGED MEDICAID | $834.35 | ↑ +32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $924.55 | ↑ +46% |
| KARNA | MEDICARE ADVANTAGE | $931.73 | ↑ +47% |
| AMERIHEALTH | LOCAL HMO | $1,311.96 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $1,435.08 | ↑ +127% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,390.30 | ↑ +278% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,656.39 | ↑ +320% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +328% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +336% |
| HORIZON | PIP | $2,936.01 | ↑ +364% |
| HORIZON | WORKERS COMP | $3,030.27 | ↑ +379% |
| HORIZON | OMNIA | $3,256.67 | ↑ +415% |
| BERGEN RISK | ALL PRODUCTS | $3,382.50 | ↑ +435% |
| AETNA | ASA | $3,531.33 | ↑ +459% |
| CIGNA | BH | $3,608.00 | ↑ +471% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,833.50 | ↑ +506% |
| HORIZON | SHP | $3,871.38 | ↑ +512% |
| HORIZON | INDEMNITY | $4,013.90 | ↑ +535% |
| HORIZON | HMO | $4,016.61 | ↑ +535% |
| QUALCARE | PPO | $4,095.08 | ↑ +548% |
| QUALCARE | HMO | $4,095.08 | ↑ +548% |
| QUALCARE | WORKERS COMP | $4,095.08 | ↑ +548% |
| AETNA | PPO | $4,120.34 | ↑ +552% |
| AETNA | HMO | $4,120.34 | ↑ +552% |
| HORIZON | PPO | $4,123.04 | ↑ +552% |
| CIGNA | PPO | $4,312.91 | ↑ +582% |
| CIGNA | HMO | $4,312.91 | ↑ +582% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ntsty modul rad tx dlvr smpl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $983.92 | $466.86 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,110.77 | $649.00 – $2,511.00 |
| Community Medical Center | Toms River | $1,087.19 | $632.20 – $2,395.00 |
| Clara Maass Medical Center | Belleville | $1,058.94 | $649.00 – $2,396.00 |
| Newark Beth Israel Medical Center | Newark | $1,091.90 | $649.00 – $2,396.00 |
| Jersey City Medical Center | Jersey City | $1,089.28 | $681.24 – $2,395.00 |
| Monmouth Medical Center | Long Branch | $1,146.94 | $640.29 – $2,407.00 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $2,774.00 |