Protein s total at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$11.61
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.
$252.00
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.
$8.51 with AETNA vs $53.20 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $8.51 | ↓ -27% |
| WELLCARE | MEDICARE ADVANTAGE | $11.61 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $11.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11.61 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $11.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.61 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13.93 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.12 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $23.83 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $24.89 | ↑ +114% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $25.45 | ↑ +119% |
| HORIZON | MANAGED MEDICAID | $29.15 | ↑ +151% |
| HORIZON | PIP | $29.95 | ↑ +158% |
| HORIZON | WORKERS COMP | $30.91 | ↑ +166% |
| HORIZON | OMNIA | $33.22 | ↑ +186% |
| BERGEN RISK | ALL PRODUCTS | $34.50 | ↑ +197% |
| AETNA | ASA | $36.02 | ↑ +210% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.80 | ↑ +217% |
| CIGNA | BH | $36.80 | ↑ +217% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $39.10 | ↑ +237% |
| AETNA | PPO | $39.19 | ↑ +238% |
| AETNA | HMO | $39.19 | ↑ +238% |
| HORIZON | SHP | $39.49 | ↑ +240% |
| AMERIHEALTH | LOCAL HMO | $39.95 | ↑ +244% |
| HORIZON | INDEMNITY | $40.94 | ↑ +253% |
| HORIZON | HMO | $40.97 | ↑ +253% |
| QUALCARE | WORKERS COMP | $41.77 | ↑ +260% |
| QUALCARE | PPO | $41.77 | ↑ +260% |
| QUALCARE | HMO | $41.77 | ↑ +260% |
| HORIZON | PPO | $42.05 | ↑ +262% |
| AMERIHEALTH | REGIONAL HMO | $45.25 | ↑ +290% |
| CIGNA | PPO | $53.20 | ↑ +358% |
| CIGNA | HMO | $53.20 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Protein s total at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $12.77 | $5.46 – $55.08 |
| Cooperman Barnabas Medical Center | Livingston | $12.77 | $5.46 – $46.73 |
| Community Medical Center | Toms River | $12.77 | $5.46 – $46.73 |
| Clara Maass Medical Center | Belleville | $12.77 | $5.46 – $46.73 |
| Childrens Specialized Hospital | Mountainside | $71.00 | $9.29 – $9.57 |
| Newark Beth Israel Medical Center | Newark | $12.77 | $5.46 – $46.73 |
| Jersey City Medical Center | Jersey City | $12.77 | $5.46 – $46.73 |
| Monmouth Medical Center | Long Branch | $12.77 | $5.46 – $46.73 |