Resp virus 6-11 targets at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$218.06
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.
?
What you pay up front if you don't use insurance.
$880.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$162.80 with AETNA vs $999.23 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $162.80 | ↓ -25% |
| AMERIGROUP | MANAGED MEDICAID | $218.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $218.06 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $218.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $218.06 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $218.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $218.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $228.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $237.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $261.67 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $284.02 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $447.57 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $460.88 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $476.08 | ↑ +118% |
| HORIZON | MANAGED MEDICAID | $557.74 | ↑ +156% |
| HORIZON | PIP | $572.88 | ↑ +163% |
| HORIZON | WORKERS COMP | $591.27 | ↑ +171% |
| HORIZON | OMNIA | $635.45 | ↑ +191% |
| BERGEN RISK | ALL PRODUCTS | $660.00 | ↑ +203% |
| AETNA | ASA | $689.04 | ↑ +216% |
| CIGNA | BH | $704.00 | ↑ +223% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $704.00 | ↑ +223% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $748.00 | ↑ +243% |
| AETNA | HMO | $749.76 | ↑ +244% |
| AETNA | PPO | $749.76 | ↑ +244% |
| HORIZON | SHP | $755.39 | ↑ +246% |
| AMERIHEALTH | LOCAL HMO | $764.19 | ↑ +250% |
| HORIZON | INDEMNITY | $783.20 | ↑ +259% |
| HORIZON | HMO | $783.73 | ↑ +259% |
| QUALCARE | WORKERS COMP | $799.04 | ↑ +266% |
| QUALCARE | PPO | $799.04 | ↑ +266% |
| QUALCARE | HMO | $799.04 | ↑ +266% |
| HORIZON | PPO | $804.50 | ↑ +269% |
| AMERIHEALTH | REGIONAL HMO | $865.57 | ↑ +297% |
| CIGNA | PPO | $999.23 | ↑ +358% |
| CIGNA | HMO | $999.23 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Resp virus 6-11 targets at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $239.87 | $102.49 – $889.26 |
| Cooperman Barnabas Medical Center | Livingston | $239.87 | $102.49 – $889.26 |
| Community Medical Center | Toms River | $239.87 | $102.49 – $889.26 |
| Clara Maass Medical Center | Belleville | $239.87 | $102.49 – $889.26 |
| Newark Beth Israel Medical Center | Newark | $239.87 | $102.49 – $889.26 |
| Jersey City Medical Center | Jersey City | $239.87 | $102.49 – $889.26 |
| Monmouth Medical Center | Long Branch | $239.87 | $102.49 – $889.26 |
| Bayshore Medical Center | Holmdel | $218.06 | $218.06 – $999.23 |