Pten gene known fam variant at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$46.60
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.
$287.00
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.
$46.60 with SEOUL MEDICAL GROUP vs $282.29 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 |
|---|---|---|---|
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $46.60 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $46.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.60 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $46.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $50.79 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $53.10 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $55.92 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $60.70 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $91.75 | ↑ +97% |
| UNITED HEALTHCARE | HMO | $95.65 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $155.27 | ↑ +233% |
| HORIZON | MANAGED MEDICAID | $181.90 | ↑ +290% |
| HORIZON | PIP | $186.84 | ↑ +301% |
| HORIZON | WORKERS COMP | $192.84 | ↑ +314% |
| HORIZON | OMNIA | $207.24 | ↑ +345% |
| CIGNA | PPO | $213.54 | ↑ +358% |
| CIGNA | HMO | $213.54 | ↑ +358% |
| BERGEN RISK | ALL PRODUCTS | $215.25 | ↑ +362% |
| AETNA | ASA | $224.72 | ↑ +382% |
| CIGNA | BH | $229.60 | ↑ +393% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $229.60 | ↑ +393% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.95 | ↑ +423% |
| AETNA | PPO | $244.52 | ↑ +425% |
| AETNA | HMO | $244.52 | ↑ +425% |
| HORIZON | SHP | $246.36 | ↑ +429% |
| AMERIHEALTH | LOCAL HMO | $249.23 | ↑ +435% |
| HORIZON | INDEMNITY | $255.43 | ↑ +448% |
| HORIZON | HMO | $255.60 | ↑ +448% |
| QUALCARE | PPO | $260.60 | ↑ +459% |
| QUALCARE | HMO | $260.60 | ↑ +459% |
| QUALCARE | WORKERS COMP | $260.60 | ↑ +459% |
| HORIZON | PPO | $262.38 | ↑ +463% |
| AMERIHEALTH | REGIONAL HMO | $282.29 | ↑ +506% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pten gene known fam variant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $51.26 | $21.90 – $189.61 |
| Cooperman Barnabas Medical Center | Livingston | $51.26 | $21.90 – $189.61 |
| Community Medical Center | Toms River | $51.26 | $21.90 – $189.61 |
| Clara Maass Medical Center | Belleville | $51.26 | $21.90 – $189.61 |
| Newark Beth Israel Medical Center | Newark | $51.26 | $21.90 – $189.61 |
| Jersey City Medical Center | Jersey City | $51.26 | $21.90 – $189.61 |
| Monmouth Medical Center | Long Branch | $51.26 | $21.90 – $189.61 |
| Bayshore Medical Center | Holmdel | $46.60 | $46.60 – $213.54 |