Optx rdl shft fx&dstl rad/ul at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$7,807.24
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.
$12,125.00
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.
$2,011.02 with KARNA vs $11,009.50 with QUALCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $2,011.02 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $2,182.50 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $2,243.13 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,485.63 | ↓ -68% |
| HORIZON | SHP | $7,264.00 | ↓ -7% |
| WELLCARE | MANAGED MEDICAID | $7,807.24 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,807.24 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1% |
| HORIZON | HMO | $7,869.00 | ↑ +1% |
| HORIZON | PIP | $7,893.38 | ↑ +1% |
| HORIZON | PPO | $8,077.00 | ↑ +3% |
| HORIZON | WORKERS COMP | $8,146.79 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,197.60 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8,509.89 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $8,619.66 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $9,368.69 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $9,418.70 | ↑ +21% |
| AETNA | ASA | $9,493.88 | ↑ +22% |
| CIGNA | BH | $9,700.00 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,306.25 | ↑ +32% |
| QUALCARE | WORKERS COMP | $11,009.50 | ↑ +41% |
| QUALCARE | PPO | $11,009.50 | ↑ +41% |
| QUALCARE | HMO | $11,009.50 | ↑ +41% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Optx rdl shft fx&dstl rad/ul at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $494.78 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $794.69 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $813.84 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $785.12 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $509.33 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $640.31 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,570.23 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $368.00 – $9,488.53 |