Radiation treatment delivery at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$287.41
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.
$2,441.00
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.
$287.41 with WELLCARE vs $2,759.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $287.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $287.41 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $287.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $287.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $301.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $313.27 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $344.89 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $439.38 | ↑ +53% |
| AETNA | MANAGED MEDICAID | $451.59 | ↑ +57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $500.41 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $710.09 | ↑ +147% |
| KARNA | MEDICARE ADVANTAGE | $732.37 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $776.73 | ↑ +170% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,293.73 | ↑ +350% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,437.75 | ↑ +400% |
| HORIZON | PIP | $1,589.09 | ↑ +453% |
| HORIZON | WORKERS COMP | $1,640.11 | ↑ +471% |
| HORIZON | OMNIA | $1,762.65 | ↑ +513% |
| BERGEN RISK | ALL PRODUCTS | $1,830.75 | ↑ +537% |
| AETNA | ASA | $1,911.30 | ↑ +565% |
| CIGNA | BH | $1,952.80 | ↑ +579% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,074.85 | ↑ +622% |
| HORIZON | SHP | $2,095.35 | ↑ +629% |
| HORIZON | INDEMNITY | $2,172.49 | ↑ +656% |
| HORIZON | HMO | $2,173.95 | ↑ +656% |
| QUALCARE | PPO | $2,216.43 | ↑ +671% |
| QUALCARE | HMO | $2,216.43 | ↑ +671% |
| QUALCARE | WORKERS COMP | $2,216.43 | ↑ +671% |
| CIGNA | PPO | $2,223.37 | ↑ +674% |
| CIGNA | HMO | $2,223.37 | ↑ +674% |
| AETNA | HMO | $2,230.10 | ↑ +676% |
| AETNA | PPO | $2,230.10 | ↑ +676% |
| HORIZON | PPO | $2,231.56 | ↑ +676% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +840% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +860% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radiation treatment delivery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $538.32 | $41.82 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $607.72 | $295.04 – $1,969.00 |
| Community Medical Center | Toms River | $594.82 | $287.41 – $2,352.00 |
| Clara Maass Medical Center | Belleville | $649.01 | $295.04 – $1,440.00 |
| Newark Beth Israel Medical Center | Newark | $597.40 | $43.05 – $1,555.00 |
| Jersey City Medical Center | Jersey City | $595.97 | $54.12 – $1,566.00 |
| Monmouth Medical Center | Long Branch | $627.51 | $291.08 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $291.08 | $291.08 – $2,774.00 |