Trauma partial team response w/critical care services level 4 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,446.07
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.
$13,299.00
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.
$1,446.07 with WELLCARE vs $13,080.90 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $1,446.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,446.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,446.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,446.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,518.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,576.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,735.28 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $2,393.82 | ↑ +66% |
| AETNA | MANAGED MEDICAID | $2,460.32 | ↑ +70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,726.30 | ↑ +89% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,833.11 | ↑ +442% |
| HORIZON | MANAGED MEDICAID | $8,428.91 | ↑ +483% |
| HORIZON | PIP | $8,657.65 | ↑ +499% |
| HORIZON | WORKERS COMP | $8,935.60 | ↑ +518% |
| OXFORD | ALL PRODUCTS | $9,454.26 | ↑ +554% |
| HORIZON | OMNIA | $9,603.21 | ↑ +564% |
| BERGEN RISK | ALL PRODUCTS | $9,974.25 | ↑ +590% |
| UNITED HEALTHCARE | HMO | $10,330.66 | ↑ +614% |
| AETNA | ASA | $10,413.12 | ↑ +620% |
| CIGNA | BH | $10,639.20 | ↑ +636% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,304.15 | ↑ +682% |
| HORIZON | SHP | $11,415.86 | ↑ +689% |
| AMERIHEALTH | LOCAL HMO | $11,548.85 | ↑ +699% |
| HORIZON | INDEMNITY | $11,836.11 | ↑ +719% |
| HORIZON | HMO | $11,844.09 | ↑ +719% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,969.10 | ↑ +728% |
| AETNA | HMO | $11,971.76 | ↑ +728% |
| AETNA | PPO | $11,971.76 | ↑ +728% |
| QUALCARE | HMO | $12,075.49 | ↑ +735% |
| QUALCARE | PPO | $12,075.49 | ↑ +735% |
| QUALCARE | WORKERS COMP | $12,075.49 | ↑ +735% |
| HORIZON | PPO | $12,157.95 | ↑ +741% |
| CIGNA | PPO | $12,717.83 | ↑ +779% |
| CIGNA | HMO | $12,717.83 | ↑ +779% |
| AMERIHEALTH | REGIONAL HMO | $13,080.90 | ↑ +805% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $3,158.56 | $1,558.24 – $3,100.90 |
| Bayshore Medical Center | Holmdel | $1,464.56 | $1,464.56 – $1,757.48 |
| Hackensack University Medical Center | Hackensack | $1,558.24 | $1,246.60 – $1,636.16 |
| Ocean University Medical Center | Brick | $1,446.07 | $1,323.17 – $1,735.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,465.83 | $1,323.17 – $1,465.83 |
| Jersey Shore University Medical Center | Neptune City | $1,464.56 | $1,464.56 – $1,757.48 |
| Palisades Medical Center | North Bergen | $1,558.24 | $1,558.24 – $1,698.49 |
| Raritan Bay Medical Center | Perth Amboy | $1,465.83 | $1,465.83 – $1,759.00 |