Radphm lcl tumor plr sgl day at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$439.15
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.
$2,750.00
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.
$254.75 with UNITED HEALTHCARE vs $2,514.05 with HORIZON — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $344.11 | ↓ -22% |
| AMERIHEALTH | REGIONAL HMO | $350.06 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $429.77 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $439.15 | ↑ +0% |
| VACCN | ALL PRODUCTS | $439.15 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $461.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $478.68 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↑ +13% |
| AETNA | MANAGED MEDICAID | $508.75 | ↑ +16% |
| AETNA | PPO | $516.55 | ↑ +18% |
| AETNA | HMO | $516.55 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $526.98 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $563.75 | ↑ +28% |
| CIGNA | PPO | $816.70 | ↑ +86% |
| CIGNA | HMO | $816.70 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $1,487.75 | ↑ +239% |
| HORIZON | PIP | $1,790.25 | ↑ +308% |
| HORIZON | WORKERS COMP | $1,847.73 | ↑ +321% |
| HORIZON | OMNIA | $1,985.78 | ↑ +352% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +370% |
| AETNA | ASA | $2,153.25 | ↑ +390% |
| CIGNA | BH | $2,200.00 | ↑ +401% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +432% |
| HORIZON | SHP | $2,360.60 | ↑ +438% |
| HORIZON | INDEMNITY | $2,447.50 | ↑ +457% |
| HORIZON | HMO | $2,449.15 | ↑ +458% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +464% |
| QUALCARE | PPO | $2,497.00 | ↑ +469% |
| QUALCARE | HMO | $2,497.00 | ↑ +469% |
| QUALCARE | WORKERS COMP | $2,497.00 | ↑ +469% |
| HORIZON | PPO | $2,514.05 | ↑ +472% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |