Treatment inhalation pressurized/nonpressurized acute airway obstruction at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$222.28
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.
$523.00
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.
$13.74 with KARNA vs $655.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $13.74 | ↓ -94% |
| CLOVER | MEDICARE ADVANTAGE | $94.14 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $96.76 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $107.22 | ↓ -52% |
| WELLCARE | MEDICARE ADVANTAGE | $222.28 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $222.28 | ↑ +0% |
| VACCN | ALL PRODUCTS | $222.28 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $222.28 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $233.39 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $242.29 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $266.74 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $308.05 | ↑ +39% |
| HORIZON | MANAGED MEDICAID | $331.48 | ↑ +49% |
| HORIZON | PIP | $340.47 | ↑ +53% |
| HORIZON | WORKERS COMP | $351.40 | ↑ +58% |
| HORIZON | OMNIA | $377.66 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $392.25 | ↑ +76% |
| AETNA | ASA | $409.51 | ↑ +84% |
| CIGNA | BH | $418.40 | ↑ +88% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $444.55 | ↑ +100% |
| HORIZON | SHP | $448.94 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $454.17 | ↑ +104% |
| HORIZON | INDEMNITY | $465.47 | ↑ +109% |
| HORIZON | HMO | $465.78 | ↑ +110% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $470.70 | ↑ +112% |
| AETNA | HMO | $470.80 | ↑ +112% |
| AETNA | PPO | $470.80 | ↑ +112% |
| QUALCARE | WORKERS COMP | $474.88 | ↑ +114% |
| QUALCARE | HMO | $474.88 | ↑ +114% |
| QUALCARE | PPO | $474.88 | ↑ +114% |
| HORIZON | PPO | $478.13 | ↑ +115% |
| CIGNA | PPO | $500.14 | ↑ +125% |
| CIGNA | HMO | $500.14 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $514.42 | ↑ +131% |
| OXFORD | ALL PRODUCTS | $525.00 | ↑ +136% |
| UNITED HEALTHCARE | HMO | $655.00 | ↑ +195% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $120.31 | $96.57 – $444.56 |
| Cooperman Barnabas Medical Center | Livingston | $137.52 | $61.42 – $456.38 |
| Community Medical Center | Toms River | $132.94 | $62.90 – $442.34 |
| Clara Maass Medical Center | Belleville | $102.03 | $60.68 – $454.10 |
| Childrens Specialized Hospital | Mountainside | $121.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $135.18 | $111.37 – $456.38 |
| Jersey City Medical Center | Jersey City | $133.19 | $66.60 – $476.64 |
| Monmouth Medical Center | Long Branch | $140.25 | $121.36 – $447.99 |