Ther nma rdctj intus/obstrcj at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$194.55
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.
$656.00
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.
$118.08 with CLOVER vs $599.72 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $118.08 | ↓ -39% |
| AETNA | MANAGED MEDICAID | $121.36 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $134.48 | ↓ -31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $192.07 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $194.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $212.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $233.47 | ↑ +20% |
| AETNA | PPO | $327.54 | ↑ +68% |
| AETNA | HMO | $327.54 | ↑ +68% |
| OXFORD | ALL PRODUCTS | $354.90 | ↑ +82% |
| AMERIHEALTH | LOCAL HMO | $419.70 | ↑ +116% |
| AMERIHEALTH | REGIONAL HMO | $426.96 | ↑ +119% |
| HORIZON | PIP | $427.06 | ↑ +120% |
| HORIZON | WORKERS COMP | $440.77 | ↑ +127% |
| KARNA | MEDICARE ADVANTAGE | $466.35 | ↑ +140% |
| HORIZON | OMNIA | $473.70 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +148% |
| BERGEN RISK | ALL PRODUCTS | $492.00 | ↑ +153% |
| AETNA | ASA | $513.65 | ↑ +164% |
| CIGNA | BH | $524.80 | ↑ +170% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $524.80 | ↑ +170% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $557.60 | ↑ +187% |
| HORIZON | SHP | $563.11 | ↑ +189% |
| HORIZON | INDEMNITY | $583.84 | ↑ +200% |
| HORIZON | HMO | $584.23 | ↑ +200% |
| CIGNA | PPO | $590.06 | ↑ +203% |
| CIGNA | HMO | $590.06 | ↑ +203% |
| QUALCARE | HMO | $595.65 | ↑ +206% |
| QUALCARE | PPO | $595.65 | ↑ +206% |
| QUALCARE | WORKERS COMP | $595.65 | ↑ +206% |
| HORIZON | PPO | $599.72 | ↑ +208% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ther nma rdctj intus/obstrcj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $279.78 | $57.40 – $814.40 |
| Monmouth Medical Center | Long Branch | $295.16 | $57.40 – $814.40 |
| Bayshore Medical Center | Holmdel | $197.04 | $192.07 – $590.06 |
| Hackensack University Medical Center | Hackensack | $209.65 | $52.03 – $578.23 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $590.06 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $606.01 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $192.07 – $590.06 |
| Palisades Medical Center | North Bergen | $209.65 | $57.40 – $590.06 |