Speech evaluation complex at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$264.17
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.
$1,092.00
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.
$149.30 with AETNA vs $998.31 with HORIZON — 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 |
|---|---|---|---|
| AETNA | HMO | $149.30 | ↓ -43% |
| AETNA | PPO | $149.30 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $196.56 | ↓ -26% |
| KARNA | MEDICARE ADVANTAGE | $200.30 | ↓ -24% |
| AETNA | MANAGED MEDICAID | $202.02 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $223.86 | ↓ -15% |
| AMERIHEALTH | LOCAL HMO | $240.68 | ↓ -9% |
| AMERIHEALTH | REGIONAL HMO | $244.84 | ↓ -7% |
| CIGNA | PPO | $248.01 | ↓ -6% |
| CIGNA | HMO | $248.01 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $264.17 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $277.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $287.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $590.77 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +136% |
| HORIZON | PIP | $710.89 | ↑ +169% |
| HORIZON | WORKERS COMP | $733.71 | ↑ +178% |
| HORIZON | OMNIA | $788.53 | ↑ +198% |
| BERGEN RISK | ALL PRODUCTS | $819.00 | ↑ +210% |
| AETNA | ASA | $855.04 | ↑ +224% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $873.60 | ↑ +231% |
| CIGNA | BH | $873.60 | ↑ +231% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $928.20 | ↑ +251% |
| HORIZON | SHP | $937.37 | ↑ +255% |
| HORIZON | INDEMNITY | $971.88 | ↑ +268% |
| HORIZON | HMO | $972.54 | ↑ +268% |
| QUALCARE | HMO | $991.54 | ↑ +275% |
| QUALCARE | WORKERS COMP | $991.54 | ↑ +275% |
| QUALCARE | PPO | $991.54 | ↑ +275% |
| HORIZON | PPO | $998.31 | ↑ +278% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Speech evaluation complex at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $134.58 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $62.44 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $134.58 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $210.08 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $140.14 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $68.88 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $94.50 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $58.80 – $623.08 |