Pr hospital ip/obs care initial high level per day 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.
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What you pay up front if you don't use insurance.
not published by hospital
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.
$110.00 with HORIZON vs $282.61 with KARNA — 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 | $110.00 | — |
| AETNA | MANAGED MEDICAID | $222.59 | — |
| KARNA | MEDICARE ADVANTAGE | $282.61 | — |
Visitor-reported prices
Comments
Pr hospital ip/obs care initial high level per day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $291.00 | $300.82 – $300.82 |
| Trinitas Regional Medical Center | Elizabeth | not published | $800.95 – $8,116.00 |
| Cooperman Barnabas Medical Center | Livingston | not published | $8,203.00 – $8,203.00 |
| Community Medical Center | Toms River | not published | $7,757.00 – $7,757.00 |
| Clara Maass Medical Center | Belleville | not published | $4,982.00 – $4,982.00 |
| Newark Beth Israel Medical Center | Newark | not published | $92.59 – $6,387.00 |
| Jersey City Medical Center | Jersey City | not published | $116.40 – $5,761.00 |
| Monmouth Medical Center | Long Branch | not published | $7,121.00 – $7,121.00 |