Ther/proph/diag inj ia at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$230.26
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.
$410.00
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.
$9.70 with HORIZON vs $1,421.00 with OXFORD — 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 |
|---|---|---|---|
| HORIZON | BH | $9.70 | ↓ -96% |
| KARNA | MEDICARE ADVANTAGE | $31.53 | ↓ -86% |
| CLOVER | MEDICARE ADVANTAGE | $73.80 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $75.85 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $84.05 | ↓ -63% |
| WELLCARE | MANAGED MEDICAID | $230.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $230.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $230.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $230.26 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $241.49 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $241.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $250.98 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $259.86 | ↑ +13% |
| HORIZON | PIP | $266.91 | ↑ +16% |
| HORIZON | WORKERS COMP | $275.48 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $276.31 | ↑ +20% |
| HORIZON | OMNIA | $296.06 | ↑ +29% |
| BERGEN RISK | ALL PRODUCTS | $307.50 | ↑ +34% |
| AETNA | ASA | $321.03 | ↑ +39% |
| CIGNA | BH | $328.00 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $348.50 | ↑ +51% |
| HORIZON | SHP | $351.94 | ↑ +53% |
| AMERIHEALTH | LOCAL HMO | $356.04 | ↑ +55% |
| HORIZON | INDEMNITY | $364.90 | ↑ +58% |
| HORIZON | HMO | $365.15 | ↑ +59% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $369.00 | ↑ +60% |
| AETNA | HMO | $369.08 | ↑ +60% |
| AETNA | PPO | $369.08 | ↑ +60% |
| QUALCARE | WORKERS COMP | $372.28 | ↑ +62% |
| QUALCARE | HMO | $372.28 | ↑ +62% |
| QUALCARE | PPO | $372.28 | ↑ +62% |
| HORIZON | PPO | $374.82 | ↑ +63% |
| CIGNA | PPO | $392.08 | ↑ +70% |
| CIGNA | HMO | $392.08 | ↑ +70% |
| AMERIHEALTH | REGIONAL HMO | $403.28 | ↑ +75% |
| UNITED HEALTHCARE | HMO | $877.00 | ↑ +281% |
| OXFORD | ALL PRODUCTS | $1,421.00 | ↑ +517% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $78.27 | $9.65 – $460.52 |
| Cooperman Barnabas Medical Center | Livingston | $121.84 | $9.70 – $472.76 |
| Community Medical Center | Toms River | $86.48 | $9.70 – $458.22 |
| Clara Maass Medical Center | Belleville | $66.03 | $9.70 – $470.40 |
| Newark Beth Israel Medical Center | Newark | $119.77 | $9.70 – $472.76 |
| Jersey City Medical Center | Jersey City | $86.65 | $9.70 – $493.76 |
| Monmouth Medical Center | Long Branch | $91.23 | $9.70 – $464.07 |
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |