Rem interrog evl pm/ids at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$40.75
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.
$308.00
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.
$36.68 with KARNA vs $302.95 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $36.68 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $40.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $40.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $42.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.42 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $48.90 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $55.44 | ↑ +36% |
| AETNA | MANAGED MEDICAID | $56.98 | ↑ +40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $63.14 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $181.41 | ↑ +345% |
| HORIZON | MANAGED MEDICAID | $195.21 | ↑ +379% |
| HORIZON | PIP | $200.51 | ↑ +392% |
| HORIZON | WORKERS COMP | $206.95 | ↑ +408% |
| OXFORD | ALL PRODUCTS | $218.96 | ↑ +437% |
| HORIZON | OMNIA | $222.41 | ↑ +446% |
| BERGEN RISK | ALL PRODUCTS | $231.00 | ↑ +467% |
| UNITED HEALTHCARE | HMO | $239.25 | ↑ +487% |
| AETNA | ASA | $241.16 | ↑ +492% |
| CIGNA | BH | $246.40 | ↑ +505% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $261.80 | ↑ +542% |
| HORIZON | SHP | $264.39 | ↑ +549% |
| AMERIHEALTH | LOCAL HMO | $267.47 | ↑ +556% |
| HORIZON | INDEMNITY | $274.12 | ↑ +573% |
| HORIZON | HMO | $274.30 | ↑ +573% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $277.20 | ↑ +580% |
| AETNA | HMO | $277.26 | ↑ +580% |
| AETNA | PPO | $277.26 | ↑ +580% |
| QUALCARE | HMO | $279.66 | ↑ +586% |
| QUALCARE | PPO | $279.66 | ↑ +586% |
| QUALCARE | WORKERS COMP | $279.66 | ↑ +586% |
| HORIZON | PPO | $281.57 | ↑ +591% |
| CIGNA | PPO | $294.54 | ↑ +623% |
| CIGNA | HMO | $294.54 | ↑ +623% |
| AMERIHEALTH | REGIONAL HMO | $302.95 | ↑ +643% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rem interrog evl pm/ids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $38.16 | $29.82 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $42.28 | $11.56 – $83.68 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $36.68 – $48.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $35.08 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $36.68 – $49.53 |
| Palisades Medical Center | North Bergen | $43.91 | $34.55 – $77.00 |