Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$34.61
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.
$88.00
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.
$15.84 with CLOVER vs $527.00 with AMERIHEALTH — 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 | $15.84 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $16.28 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.04 | ↓ -48% |
| AMERIGROUP | MANAGED MEDICAID | $34.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $34.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $34.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $37.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $41.53 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $44.57 | ↑ +29% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $51.83 | ↑ +50% |
| HORIZON | MANAGED MEDICAID | $55.77 | ↑ +61% |
| HORIZON | PIP | $57.29 | ↑ +66% |
| HORIZON | WORKERS COMP | $59.13 | ↑ +71% |
| HORIZON | OMNIA | $63.54 | ↑ +84% |
| BERGEN RISK | ALL PRODUCTS | $66.00 | ↑ +91% |
| AETNA | ASA | $68.90 | ↑ +99% |
| CIGNA | BH | $70.40 | ↑ +103% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $74.80 | ↑ +116% |
| HORIZON | SHP | $75.54 | ↑ +118% |
| HORIZON | INDEMNITY | $78.32 | ↑ +126% |
| HORIZON | HMO | $78.37 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $79.20 | ↑ +129% |
| AETNA | HMO | $79.22 | ↑ +129% |
| AETNA | PPO | $79.22 | ↑ +129% |
| QUALCARE | HMO | $79.90 | ↑ +131% |
| QUALCARE | PPO | $79.90 | ↑ +131% |
| QUALCARE | WORKERS COMP | $79.90 | ↑ +131% |
| HORIZON | PPO | $80.45 | ↑ +132% |
| CIGNA | PPO | $84.15 | ↑ +143% |
| CIGNA | HMO | $84.15 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $235.00 | ↑ +579% |
| OXFORD | ALL PRODUCTS | $237.00 | ↑ +585% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +1244% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +1423% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $25.90 | $22.70 – $197.00 |
| Cooperman Barnabas Medical Center | Livingston | $40.04 | $29.88 – $197.00 |
| Community Medical Center | Toms River | $28.62 | $30.60 – $197.00 |
| Clara Maass Medical Center | Belleville | $18.49 | $29.52 – $197.00 |
| Childrens Specialized Hospital | Mountainside | $55.00 | $25.41 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $39.36 | $23.36 – $54.18 |
| Jersey City Medical Center | Jersey City | $28.67 | $29.37 – $197.00 |
| Monmouth Medical Center | Long Branch | $30.19 | $59.04 – $197.00 |