Oncology tum unknown origin at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,750.00
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.
$10,461.00
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.
$1,046.10 with HORIZON vs $17,183.81 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,046.10 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $1,935.29 | ↓ -48% |
| WELLCARE | MANAGED MEDICAID | $3,750.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $3,750.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,750.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $3,750.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,750.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,750.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,937.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,087.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,500.00 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $4,587.79 | ↑ +22% |
| KARNA | MEDICARE ADVANTAGE | $4,884.38 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $5,659.40 | ↑ +51% |
| HORIZON | PIP | $6,810.11 | ↑ +82% |
| HORIZON | WORKERS COMP | $7,028.75 | ↑ +87% |
| HORIZON | OMNIA | $7,553.89 | ↑ +101% |
| UNITED HEALTHCARE | HMO | $7,696.88 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $7,845.75 | ↑ +109% |
| AETNA | ASA | $8,190.96 | ↑ +118% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,368.80 | ↑ +123% |
| CIGNA | BH | $8,368.80 | ↑ +123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,891.85 | ↑ +137% |
| AETNA | PPO | $8,912.77 | ↑ +138% |
| AETNA | HMO | $8,912.77 | ↑ +138% |
| HORIZON | SHP | $8,979.72 | ↑ +139% |
| AMERIHEALTH | LOCAL HMO | $9,084.33 | ↑ +142% |
| HORIZON | INDEMNITY | $9,310.29 | ↑ +148% |
| HORIZON | HMO | $9,316.57 | ↑ +148% |
| QUALCARE | PPO | $9,498.59 | ↑ +153% |
| QUALCARE | HMO | $9,498.59 | ↑ +153% |
| QUALCARE | WORKERS COMP | $9,498.59 | ↑ +153% |
| HORIZON | PPO | $9,563.45 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $10,289.44 | ↑ +174% |
| CIGNA | PPO | $17,183.81 | ↑ +358% |
| CIGNA | HMO | $17,183.81 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Oncology tum unknown origin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,125.00 | $1,762.50 – $15,290.92 |
| Cooperman Barnabas Medical Center | Livingston | $4,125.00 | $1,762.50 – $15,290.92 |
| Community Medical Center | Toms River | $4,125.00 | $1,762.50 – $15,290.92 |
| Clara Maass Medical Center | Belleville | $4,125.00 | $1,762.50 – $15,290.92 |
| Newark Beth Israel Medical Center | Newark | $4,125.00 | $1,762.50 – $15,290.92 |
| Jersey City Medical Center | Jersey City | $4,125.00 | $1,762.50 – $15,290.92 |
| Monmouth Medical Center | Long Branch | $4,125.00 | $1,762.50 – $15,290.92 |
| Bayshore Medical Center | Holmdel | $3,750.00 | $3,750.00 – $17,183.81 |