Sleep study attended at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$579.88
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.
$4,124.00
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.
$579.88 with VACCN vs $9,295.00 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $579.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $579.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $608.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $632.07 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $695.86 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $700.70 | ↑ +21% |
| CLOVER | MEDICARE ADVANTAGE | $742.32 | ↑ +28% |
| AETNA | MANAGED MEDICAID | $762.94 | ↑ +32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $845.42 | ↑ +46% |
| OXFORD | ALL PRODUCTS | $889.00 | ↑ +53% |
| HORIZON | MANAGED MEDICAID | $1,580.00 | ↑ +172% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,429.04 | ↑ +319% |
| AMERIHEALTH | LOCAL HMO | $2,674.41 | ↑ +361% |
| HORIZON | PIP | $2,684.72 | ↑ +363% |
| HORIZON | WORKERS COMP | $2,770.92 | ↑ +378% |
| HORIZON | OMNIA | $2,977.94 | ↑ +414% |
| AMERIHEALTH | REGIONAL HMO | $2,977.94 | ↑ +414% |
| BERGEN RISK | ALL PRODUCTS | $3,093.00 | ↑ +433% |
| AETNA | ASA | $3,229.09 | ↑ +457% |
| CIGNA | BH | $3,299.20 | ↑ +469% |
| AETNA | PPO | $3,505.40 | ↑ +505% |
| AETNA | HMO | $3,505.40 | ↑ +505% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,505.40 | ↑ +505% |
| HORIZON | SHP | $3,540.04 | ↑ +510% |
| HORIZON | INDEMNITY | $3,670.36 | ↑ +533% |
| HORIZON | HMO | $3,672.83 | ↑ +533% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,711.60 | ↑ +540% |
| QUALCARE | HMO | $3,744.59 | ↑ +546% |
| QUALCARE | WORKERS COMP | $3,744.59 | ↑ +546% |
| QUALCARE | PPO | $3,744.59 | ↑ +546% |
| HORIZON | PPO | $3,770.16 | ↑ +550% |
| CIGNA | HMO | $3,943.78 | ↑ +580% |
| CIGNA | PPO | $3,943.78 | ↑ +580% |
| UNITED HEALTHCARE | HMO | $9,295.00 | ↑ +1503% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sleep study attended at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $542.26 | $214.42 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $603.91 | $595.29 – $1,190.58 |
| Community Medical Center | Toms River | $599.17 | $579.88 – $1,153.96 |
| Newark Beth Israel Medical Center | Newark | $593.65 | $220.73 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $600.33 | $277.49 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $632.11 | $587.30 – $1,168.73 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $5,634.00 |
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $8,372.00 |