Screening prostate cancer PSA at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$19.31
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.
$325.00
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.
$19.31 with WELLCARE vs $319.67 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $19.31 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $19.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.31 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21.05 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $23.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $25.15 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $39.63 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $40.37 | ↑ +109% |
| AETNA | MANAGED MEDICAID | $60.13 | ↑ +211% |
| CIGNA | HMO | $88.49 | ↑ +358% |
| CIGNA | PPO | $88.49 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $175.83 | ↑ +811% |
| HORIZON | MANAGED MEDICAID | $205.99 | ↑ +967% |
| HORIZON | PIP | $211.58 | ↑ +996% |
| HORIZON | WORKERS COMP | $218.37 | ↑ +1031% |
| HORIZON | OMNIA | $234.68 | ↑ +1115% |
| BERGEN RISK | ALL PRODUCTS | $243.75 | ↑ +1162% |
| AETNA | ASA | $254.48 | ↑ +1218% |
| CIGNA | BH | $260.00 | ↑ +1246% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $260.00 | ↑ +1246% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $276.25 | ↑ +1331% |
| AETNA | PPO | $276.90 | ↑ +1334% |
| AETNA | HMO | $276.90 | ↑ +1334% |
| HORIZON | SHP | $278.98 | ↑ +1345% |
| AMERIHEALTH | LOCAL HMO | $282.23 | ↑ +1362% |
| HORIZON | INDEMNITY | $289.25 | ↑ +1398% |
| HORIZON | HMO | $289.45 | ↑ +1399% |
| QUALCARE | WORKERS COMP | $295.10 | ↑ +1428% |
| QUALCARE | HMO | $295.10 | ↑ +1428% |
| QUALCARE | PPO | $295.10 | ↑ +1428% |
| HORIZON | PPO | $297.12 | ↑ +1439% |
| AMERIHEALTH | REGIONAL HMO | $319.67 | ↑ +1555% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Screening prostate cancer PSA at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $21.24 | $9.08 – $79.43 |
| Cooperman Barnabas Medical Center | Livingston | $21.24 | $9.08 – $78.77 |
| Community Medical Center | Toms River | $21.24 | $9.08 – $78.77 |
| Clara Maass Medical Center | Belleville | $21.24 | $9.08 – $78.77 |
| Newark Beth Israel Medical Center | Newark | $21.24 | $9.08 – $78.77 |
| Jersey City Medical Center | Jersey City | $21.24 | $9.08 – $78.77 |
| Monmouth Medical Center | Long Branch | $21.24 | $9.08 – $78.77 |
| Bayshore Medical Center | Holmdel | $19.31 | $19.31 – $88.49 |