Repair dental ellis ii fx at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$253.79
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.
$3,401.00
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.
$253.79 with WELLCARE vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $253.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $253.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $266.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $276.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $304.55 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $612.18 | ↑ +141% |
| AETNA | MANAGED MEDICAID | $629.19 | ↑ +148% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $697.21 | ↑ +175% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↑ +256% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +368% |
| QUALCARE | HMO | $1,525.00 | ↑ +501% |
| HORIZON | PIP | $2,214.05 | ↑ +772% |
| HORIZON | WORKERS COMP | $2,285.13 | ↑ +800% |
| HORIZON | OMNIA | $2,455.86 | ↑ +868% |
| BERGEN RISK | ALL PRODUCTS | $2,550.75 | ↑ +905% |
| AETNA | ASA | $2,662.98 | ↑ +949% |
| CIGNA | BH | $2,720.80 | ↑ +972% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +1018% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,890.85 | ↑ +1039% |
| HORIZON | SHP | $2,919.42 | ↑ +1050% |
| AMERIHEALTH | LOCAL HMO | $2,953.43 | ↑ +1064% |
| HORIZON | INDEMNITY | $3,026.89 | ↑ +1093% |
| HORIZON | HMO | $3,028.93 | ↑ +1093% |
| CIGNA | HMO | $3,057.16 | ↑ +1105% |
| CIGNA | PPO | $3,057.16 | ↑ +1105% |
| QUALCARE | WORKERS COMP | $3,088.11 | ↑ +1117% |
| QUALCARE | PPO | $3,088.11 | ↑ +1117% |
| HORIZON | PPO | $3,109.19 | ↑ +1125% |
| AMERIHEALTH | REGIONAL HMO | $3,345.22 | ↑ +1218% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1221% |
| AETNA | PPO | $9,383.00 | ↑ +3597% |
| AETNA | HMO | $9,383.00 | ↑ +3597% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3814% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair dental ellis ii fx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $52.99 – $505.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $51.12 – $518.45 |
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Hackensack University Medical Center | Hackensack | $273.48 | $218.78 – $287.15 |
| Ocean University Medical Center | Brick | $253.79 | $232.22 – $304.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $62.34 – $257.26 |
| Jersey Shore University Medical Center | Neptune City | $257.04 | $257.04 – $308.44 |
| Palisades Medical Center | North Bergen | $273.48 | $273.48 – $298.09 |