Remove in/ex hem groups 2+ at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,997.10
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.
$8,162.00
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.
$1,007.43 with KARNA vs $10,216.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,007.43 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $1,469.16 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $1,509.97 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,673.21 | ↓ -44% |
| QUALCARE | HMO | $2,255.00 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,997.10 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,997.10 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,146.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,266.84 | ↑ +9% |
| CIGNA | HMO | $3,586.00 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| CIGNA | PPO | $4,011.00 | ↑ +34% |
| HORIZON | PIP | $5,313.46 | ↑ +77% |
| HORIZON | WORKERS COMP | $5,484.05 | ↑ +83% |
| HORIZON | OMNIA | $5,893.78 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $6,121.50 | ↑ +104% |
| AETNA | ASA | $6,390.85 | ↑ +113% |
| CIGNA | BH | $6,529.60 | ↑ +118% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,937.70 | ↑ +131% |
| HORIZON | SHP | $7,006.26 | ↑ +134% |
| AMERIHEALTH | LOCAL HMO | $7,087.88 | ↑ +136% |
| HORIZON | INDEMNITY | $7,264.18 | ↑ +142% |
| HORIZON | HMO | $7,269.08 | ↑ +143% |
| QUALCARE | PPO | $7,411.10 | ↑ +147% |
| QUALCARE | WORKERS COMP | $7,411.10 | ↑ +147% |
| HORIZON | PPO | $7,461.70 | ↑ +149% |
| AMERIHEALTH | REGIONAL HMO | $8,028.14 | ↑ +168% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +175% |
| AETNA | HMO | $9,383.00 | ↑ +213% |
| AETNA | PPO | $9,383.00 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove in/ex hem groups 2+ at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $247.86 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $341.96 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $350.20 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $337.84 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $255.15 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $320.76 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $675.68 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |