Pq dr cath chg w cont s&i at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
?
What you pay up front if you don't use insurance.
$2,008.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$146.50 with UNITED HEALTHCARE vs $1,975.07 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $146.50 | — |
| KARNA | MEDICARE ADVANTAGE | $174.25 | — |
| AETNA | HMO | $221.26 | — |
| AETNA | PPO | $221.26 | — |
| CIGNA | PPO | $239.36 | — |
| CIGNA | HMO | $239.36 | — |
| CLOVER | MEDICARE ADVANTAGE | $361.44 | — |
| AETNA | MANAGED MEDICAID | $371.48 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $411.64 | — |
| AETNA | MEDICARE ADVANTAGE | $419.67 | — |
| OXFORD | ALL PRODUCTS | $1,086.33 | — |
| HORIZON | PIP | $1,307.21 | — |
| HORIZON | WORKERS COMP | $1,349.18 | — |
| HORIZON | OMNIA | $1,449.98 | — |
| BERGEN RISK | ALL PRODUCTS | $1,506.00 | — |
| UNITED HEALTHCARE | HMO | $1,559.81 | — |
| AETNA | ASA | $1,572.26 | — |
| CIGNA | BH | $1,606.40 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,606.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,706.80 | — |
| HORIZON | SHP | $1,723.67 | — |
| AMERIHEALTH | LOCAL HMO | $1,743.75 | — |
| HORIZON | INDEMNITY | $1,787.12 | — |
| HORIZON | HMO | $1,788.32 | — |
| QUALCARE | WORKERS COMP | $1,823.26 | — |
| QUALCARE | HMO | $1,823.26 | — |
| QUALCARE | PPO | $1,823.26 | — |
| HORIZON | PPO | $1,835.71 | — |
| AMERIHEALTH | REGIONAL HMO | $1,975.07 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pq dr cath chg w cont s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $333.73 | $49.30 – $588.20 |
| Cooperman Barnabas Medical Center | Livingston | $316.79 | $84.38 – $214.00 |
| Community Medical Center | Toms River | $368.75 | $84.38 – $146.17 |
| Clara Maass Medical Center | Belleville | $189.75 | $84.38 – $159.36 |
| Newark Beth Israel Medical Center | Newark | $311.40 | $50.75 – $214.00 |
| Jersey City Medical Center | Jersey City | $369.46 | $63.80 – $186.45 |
| Monmouth Medical Center | Long Branch | $389.02 | $84.38 – $214.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $156.36 | $84.38 – $146.17 |