Resin three surfaces-anterio at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,817.06
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.
$1,155.00
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.
$207.90 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $207.90 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $213.68 | ↓ -88% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $236.78 | ↓ -87% |
| KARNA | MEDICARE ADVANTAGE | $324.27 | ↓ -82% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $680.30 | ↓ -63% |
| HORIZON | PIP | $751.91 | ↓ -59% |
| HORIZON | WORKERS COMP | $776.04 | ↓ -57% |
| OXFORD | ALL PRODUCTS | $821.09 | ↓ -55% |
| HORIZON | OMNIA | $834.03 | ↓ -54% |
| BERGEN RISK | ALL PRODUCTS | $866.25 | ↓ -52% |
| UNITED HEALTHCARE | HMO | $897.20 | ↓ -51% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -50% |
| AETNA | ASA | $904.37 | ↓ -50% |
| CIGNA | BH | $924.00 | ↓ -49% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $981.75 | ↓ -46% |
| HORIZON | SHP | $991.45 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $1,003.00 | ↓ -45% |
| HORIZON | INDEMNITY | $1,027.95 | ↓ -43% |
| HORIZON | HMO | $1,028.64 | ↓ -43% |
| QUALCARE | HMO | $1,048.74 | ↓ -42% |
| QUALCARE | PPO | $1,048.74 | ↓ -42% |
| QUALCARE | WORKERS COMP | $1,048.74 | ↓ -42% |
| HORIZON | PPO | $1,055.90 | ↓ -42% |
| CIGNA | PPO | $1,104.53 | ↓ -39% |
| CIGNA | HMO | $1,104.53 | ↓ -39% |
| AMERIHEALTH | REGIONAL HMO | $1,136.06 | ↓ -37% |
| WELLCARE | MEDICARE ADVANTAGE | $1,817.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,817.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,817.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,817.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,907.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,980.59 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,180.47 | ↑ +20% |
| AETNA | HMO | $9,383.00 | ↑ +416% |
| AETNA | PPO | $9,383.00 | ↑ +416% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +447% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Resin three surfaces-anterio at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,841.89 | $331.12 – $1,841.89 |
| Jersey Shore University Medical Center | Neptune City | $1,840.30 | $324.27 – $2,208.36 |
| Palisades Medical Center | North Bergen | $1,958.01 | $331.12 – $2,134.23 |
| Raritan Bay Medical Center | Perth Amboy | $1,841.89 | $331.12 – $2,210.27 |
| Riverview Medical Center | Red Bank | $1,840.30 | $324.27 – $2,208.36 |
| Trinitas Regional Medical Center | Elizabeth | not published | $50.49 – $3,634.12 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1,865.34 – $3,730.68 |
| Community Medical Center | Toms River | not published | $1,817.06 – $3,615.95 |