Special teletx port plan at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$400.07
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.
$2,954.00
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.
$172.00 with KARNA vs $2,759.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $172.00 | ↓ -57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $400.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $400.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $400.07 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $400.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $420.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $436.08 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $452.52 | ↑ +13% |
| AETNA | MANAGED MEDICAID | $465.09 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $480.08 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $515.37 | ↑ +29% |
| AMERIHEALTH | LOCAL HMO | $731.32 | ↑ +83% |
| AMERIHEALTH | REGIONAL HMO | $799.95 | ↑ +100% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,332.42 | ↑ +233% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,480.75 | ↑ +270% |
| HORIZON | PIP | $1,636.61 | ↑ +309% |
| HORIZON | WORKERS COMP | $1,689.16 | ↑ +322% |
| HORIZON | OMNIA | $1,815.36 | ↑ +354% |
| BERGEN RISK | ALL PRODUCTS | $1,885.50 | ↑ +371% |
| AETNA | ASA | $1,968.46 | ↑ +392% |
| CIGNA | BH | $2,011.20 | ↑ +403% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,136.90 | ↑ +434% |
| HORIZON | SHP | $2,158.02 | ↑ +439% |
| HORIZON | INDEMNITY | $2,237.46 | ↑ +459% |
| HORIZON | HMO | $2,238.97 | ↑ +460% |
| QUALCARE | PPO | $2,282.71 | ↑ +471% |
| QUALCARE | HMO | $2,282.71 | ↑ +471% |
| QUALCARE | WORKERS COMP | $2,282.71 | ↑ +471% |
| AETNA | PPO | $2,296.79 | ↑ +474% |
| AETNA | HMO | $2,296.79 | ↑ +474% |
| HORIZON | PPO | $2,298.30 | ↑ +474% |
| CIGNA | PPO | $2,404.14 | ↑ +501% |
| CIGNA | HMO | $2,404.14 | ↑ +501% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +576% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +590% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Special teletx port plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $536.07 | $48.66 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $629.34 | $125.78 – $1,969.00 |
| Community Medical Center | Toms River | $592.33 | $115.39 – $2,352.00 |
| Clara Maass Medical Center | Belleville | $586.55 | $125.78 – $1,440.00 |
| Newark Beth Israel Medical Center | Newark | $618.65 | $50.10 – $1,555.00 |
| Jersey City Medical Center | Jersey City | $593.47 | $62.98 – $1,566.00 |
| Monmouth Medical Center | Long Branch | $624.89 | $118.77 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $405.19 | $405.19 – $2,774.00 |