Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$140.84
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.
$342.00
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.
$61.56 with CLOVER vs $336.39 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 | $61.56 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $63.27 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $70.11 | ↓ -50% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $140.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $140.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $153.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $169.01 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $201.44 | ↑ +43% |
| HORIZON | MANAGED MEDICAID | $216.76 | ↑ +54% |
| HORIZON | PIP | $222.64 | ↑ +58% |
| KARNA | MEDICARE ADVANTAGE | $225.42 | ↑ +60% |
| HORIZON | WORKERS COMP | $229.79 | ↑ +63% |
| OXFORD | ALL PRODUCTS | $243.13 | ↑ +73% |
| HORIZON | OMNIA | $246.96 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $265.67 | ↑ +89% |
| AETNA | ASA | $267.79 | ↑ +90% |
| CIGNA | BH | $273.60 | ↑ +94% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +106% |
| HORIZON | SHP | $293.57 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $296.99 | ↑ +111% |
| HORIZON | INDEMNITY | $304.38 | ↑ +116% |
| HORIZON | HMO | $304.59 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.80 | ↑ +119% |
| AETNA | HMO | $307.87 | ↑ +119% |
| AETNA | PPO | $307.87 | ↑ +119% |
| QUALCARE | PPO | $310.54 | ↑ +120% |
| QUALCARE | HMO | $310.54 | ↑ +120% |
| QUALCARE | WORKERS COMP | $310.54 | ↑ +120% |
| HORIZON | PPO | $312.66 | ↑ +122% |
| CIGNA | HMO | $327.05 | ↑ +132% |
| CIGNA | PPO | $327.05 | ↑ +132% |
| AMERIHEALTH | REGIONAL HMO | $336.39 | ↑ +139% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $128.87 – $232.25 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $142.64 – $225.42 |
| Palisades Medical Center | North Bergen | $151.77 | $151.77 – $232.25 |
| Raritan Bay Medical Center | Perth Amboy | $142.76 | $142.76 – $232.25 |
| Riverview Medical Center | Red Bank | $142.64 | $142.64 – $225.42 |
| Trinitas Regional Medical Center | Elizabeth | not published | $140.84 – $281.68 |
| Cooperman Barnabas Medical Center | Livingston | not published | $144.58 – $289.16 |
| Community Medical Center | Toms River | not published | $140.84 – $280.27 |