Psychotherapy patient individual therapy 45 minutes 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.
$539.00
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.
$97.02 with CLOVER vs $530.16 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 | $97.02 | ↓ -45% |
| AETNA | MANAGED MEDICAID | $99.72 | ↓ -43% |
| HORIZON | BH | $100.17 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $110.50 | ↓ -37% |
| KARNA | MEDICARE ADVANTAGE | $147.47 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $175.59 | ↑ +0% |
| VACCN | ALL PRODUCTS | $175.59 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $175.59 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $184.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $191.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $210.71 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $317.47 | ↑ +81% |
| HORIZON | MANAGED MEDICAID | $341.62 | ↑ +95% |
| HORIZON | PIP | $350.89 | ↑ +100% |
| HORIZON | WORKERS COMP | $362.15 | ↑ +106% |
| OXFORD | ALL PRODUCTS | $383.18 | ↑ +118% |
| HORIZON | OMNIA | $389.21 | ↑ +122% |
| BERGEN RISK | ALL PRODUCTS | $404.25 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $418.70 | ↑ +138% |
| AETNA | ASA | $422.04 | ↑ +140% |
| CIGNA | BH | $431.20 | ↑ +146% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $458.15 | ↑ +161% |
| HORIZON | SHP | $462.68 | ↑ +164% |
| AMERIHEALTH | LOCAL HMO | $468.07 | ↑ +167% |
| HORIZON | INDEMNITY | $479.71 | ↑ +173% |
| HORIZON | HMO | $480.03 | ↑ +173% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $485.10 | ↑ +176% |
| AETNA | HMO | $485.21 | ↑ +176% |
| AETNA | PPO | $485.21 | ↑ +176% |
| QUALCARE | HMO | $489.41 | ↑ +179% |
| QUALCARE | PPO | $489.41 | ↑ +179% |
| QUALCARE | WORKERS COMP | $489.41 | ↑ +179% |
| HORIZON | PPO | $492.75 | ↑ +181% |
| CIGNA | PPO | $515.45 | ↑ +194% |
| CIGNA | HMO | $515.45 | ↑ +194% |
| AMERIHEALTH | REGIONAL HMO | $530.16 | ↑ +202% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 45 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $215.60 | $75.03 – $392.00 |
| Trinitas Regional Medical Center | Elizabeth | $97.22 | $100.17 – $351.18 |
| Saint Barnabas Behavioral Health Center | Toms River | $146.36 | $97.62 – $175.59 |
| Cooperman Barnabas Medical Center | Livingston | $109.76 | $100.17 – $360.52 |
| Clara Maass Medical Center | Belleville | $103.03 | $100.17 – $358.72 |
| Childrens Specialized Hospital | Mountainside | $162.50 | $192.00 – $195.00 |
| Newark Beth Israel Medical Center | Newark | $107.89 | $100.17 – $360.52 |
| Jersey City Medical Center | Jersey City | $107.64 | $100.17 – $376.53 |