Pr evaluation psychiatric diagnostic w/medical services at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$175.59
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.
$836.00
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.
$150.48 with CLOVER vs $822.29 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $150.48 | ↓ -14% |
| AETNA | MANAGED MEDICAID | $154.66 | ↓ -12% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $171.38 | ↓ -2% |
| VACCN | ALL PRODUCTS | $175.59 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $175.59 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $184.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $191.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $210.71 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $277.15 | ↑ +58% |
| OXFORD | ALL PRODUCTS | $396.00 | ↑ +126% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $492.40 | ↑ +180% |
| HORIZON | BH | $510.62 | ↑ +191% |
| HORIZON | MANAGED MEDICAID | $529.86 | ↑ +202% |
| HORIZON | PIP | $544.24 | ↑ +210% |
| HORIZON | WORKERS COMP | $561.71 | ↑ +220% |
| HORIZON | OMNIA | $603.68 | ↑ +244% |
| BERGEN RISK | ALL PRODUCTS | $627.00 | ↑ +257% |
| UNITED HEALTHCARE | HMO | $651.00 | ↑ +271% |
| AETNA | ASA | $654.59 | ↑ +273% |
| CIGNA | BH | $668.80 | ↑ +281% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $710.60 | ↑ +305% |
| HORIZON | SHP | $717.62 | ↑ +309% |
| AMERIHEALTH | LOCAL HMO | $725.98 | ↑ +313% |
| HORIZON | INDEMNITY | $744.04 | ↑ +324% |
| HORIZON | HMO | $744.54 | ↑ +324% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $752.40 | ↑ +328% |
| AETNA | HMO | $752.57 | ↑ +329% |
| AETNA | PPO | $752.57 | ↑ +329% |
| QUALCARE | PPO | $759.09 | ↑ +332% |
| QUALCARE | HMO | $759.09 | ↑ +332% |
| QUALCARE | WORKERS COMP | $759.09 | ↑ +332% |
| HORIZON | PPO | $764.27 | ↑ +335% |
| CIGNA | HMO | $799.47 | ↑ +355% |
| CIGNA | PPO | $799.47 | ↑ +355% |
| AMERIHEALTH | REGIONAL HMO | $822.29 | ↑ +368% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr evaluation psychiatric diagnostic w/medical services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $334.40 | $121.22 – $608.00 |
| Trinitas Regional Medical Center | Elizabeth | $181.13 | $175.59 – $351.18 |
| Cooperman Barnabas Medical Center | Livingston | $153.62 | $180.26 – $360.52 |
| Community Medical Center | Toms River | $200.14 | $175.59 – $349.42 |
| Clara Maass Medical Center | Belleville | $181.99 | $180.26 – $358.72 |
| Childrens Specialized Hospital | Mountainside | $428.00 | $207.00 – $1,396.39 |
| Newark Beth Israel Medical Center | Newark | $185.17 | $180.26 – $360.52 |
| Jersey City Medical Center | Jersey City | $200.52 | $189.21 – $376.53 |