Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$32.56
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.
$83.00
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.
$8.12 with HORIZON vs $527.00 with AMERIHEALTH — 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 | BH | $8.12 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $14.94 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $15.36 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.02 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $19.23 | ↓ -41% |
| WELLCARE | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32.56 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $39.07 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $48.89 | ↑ +50% |
| HORIZON | MANAGED MEDICAID | $52.61 | ↑ +62% |
| HORIZON | PIP | $54.03 | ↑ +66% |
| HORIZON | WORKERS COMP | $55.77 | ↑ +71% |
| HORIZON | OMNIA | $59.93 | ↑ +84% |
| BERGEN RISK | ALL PRODUCTS | $62.25 | ↑ +91% |
| AETNA | ASA | $64.99 | ↑ +100% |
| CIGNA | BH | $66.40 | ↑ +104% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $70.55 | ↑ +117% |
| HORIZON | SHP | $71.25 | ↑ +119% |
| HORIZON | INDEMNITY | $73.87 | ↑ +127% |
| HORIZON | HMO | $73.92 | ↑ +127% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $74.70 | ↑ +129% |
| AETNA | HMO | $74.72 | ↑ +129% |
| AETNA | PPO | $74.72 | ↑ +129% |
| QUALCARE | HMO | $75.36 | ↑ +131% |
| QUALCARE | WORKERS COMP | $75.36 | ↑ +131% |
| QUALCARE | PPO | $75.36 | ↑ +131% |
| HORIZON | PPO | $75.88 | ↑ +133% |
| CIGNA | HMO | $79.37 | ↑ +144% |
| CIGNA | PPO | $79.37 | ↑ +144% |
| UNITED HEALTHCARE | HMO | $235.00 | ↑ +622% |
| OXFORD | ALL PRODUCTS | $237.00 | ↑ +628% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +1328% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +1519% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $17.83 | $7.76 – $65.12 |
| Cooperman Barnabas Medical Center | Livingston | $18.64 | $8.12 – $66.84 |
| Community Medical Center | Toms River | $19.70 | $8.12 – $64.79 |
| Clara Maass Medical Center | Belleville | $11.13 | $8.12 – $66.51 |
| Jersey City Medical Center | Jersey City | $19.74 | $8.12 – $69.81 |
| Monmouth Medical Center | Long Branch | $20.78 | $8.12 – $65.61 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $465.00 |
| Hackensack University Medical Center | Hackensack | $35.08 | $19.78 – $1,496.00 |