Training self management diabetes individual outpatient department per 30 minutes at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$68.91
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.
$259.00
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.
$46.62 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 | $46.62 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $47.92 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $53.10 | ↓ -23% |
| AMERIGROUP | MANAGED MEDICAID | $68.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $68.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $68.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $68.91 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $72.36 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $75.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $82.69 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $94.93 | ↑ +38% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $152.55 | ↑ +121% |
| HORIZON | MANAGED MEDICAID | $164.15 | ↑ +138% |
| HORIZON | PIP | $168.61 | ↑ +145% |
| HORIZON | WORKERS COMP | $174.02 | ↑ +153% |
| HORIZON | OMNIA | $187.02 | ↑ +171% |
| BERGEN RISK | ALL PRODUCTS | $194.25 | ↑ +182% |
| AETNA | ASA | $202.80 | ↑ +194% |
| CIGNA | BH | $207.20 | ↑ +201% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $220.15 | ↑ +219% |
| HORIZON | SHP | $222.33 | ↑ +223% |
| HORIZON | INDEMNITY | $230.51 | ↑ +235% |
| HORIZON | HMO | $230.67 | ↑ +235% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $233.10 | ↑ +238% |
| AETNA | PPO | $233.15 | ↑ +238% |
| AETNA | HMO | $233.15 | ↑ +238% |
| UNITED HEALTHCARE | HMO | $235.00 | ↑ +241% |
| QUALCARE | HMO | $235.17 | ↑ +241% |
| QUALCARE | WORKERS COMP | $235.17 | ↑ +241% |
| QUALCARE | PPO | $235.17 | ↑ +241% |
| HORIZON | PPO | $236.78 | ↑ +244% |
| OXFORD | ALL PRODUCTS | $237.00 | ↑ +244% |
| CIGNA | PPO | $247.68 | ↑ +259% |
| CIGNA | HMO | $247.68 | ↑ +259% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +575% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +665% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Training self management diabetes individual outpatient department per 30 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $66.25 | $38.74 – $197.00 |
| Cooperman Barnabas Medical Center | Livingston | $71.19 | $71.38 – $197.00 |
| Community Medical Center | Toms River | $73.21 | $73.10 – $197.00 |
| Clara Maass Medical Center | Belleville | $61.85 | $70.52 – $197.00 |
| Newark Beth Israel Medical Center | Newark | $69.98 | $39.88 – $129.43 |
| Monmouth Medical Center | Long Branch | $77.23 | $141.04 – $197.00 |
| Bayshore Medical Center | Holmdel | $68.91 | $68.91 – $465.00 |
| Hackensack University Medical Center | Hackensack | $68.91 | $55.13 – $1,496.00 |