Unlisted oph svc/procedure at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$26.76
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.
$176.00
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.
$26.76 with WELLCARE vs $8,077.00 with HORIZON — 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 | MANAGED MEDICAID | $26.76 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $26.76 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $26.76 | ↑ +0% |
| VACCN | ALL PRODUCTS | $26.76 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.17 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $31.68 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $32.12 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $32.56 | ↑ +22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $36.08 | ↑ +35% |
| HORIZON | PIP | $114.58 | ↑ +328% |
| HORIZON | WORKERS COMP | $118.25 | ↑ +342% |
| OXFORD | ALL PRODUCTS | $125.12 | ↑ +368% |
| UNITED HEALTHCARE | HMO | $136.72 | ↑ +411% |
| AETNA | ASA | $137.81 | ↑ +415% |
| CIGNA | BH | $140.80 | ↑ +426% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $149.60 | ↑ +459% |
| QUALCARE | HMO | $159.81 | ↑ +497% |
| QUALCARE | PPO | $159.81 | ↑ +497% |
| QUALCARE | WORKERS COMP | $159.81 | ↑ +497% |
| HORIZON | SHP | $7,264.00 | ↑ +27045% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +29298% |
| HORIZON | HMO | $7,869.00 | ↑ +29306% |
| HORIZON | PPO | $8,077.00 | ↑ +30083% |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted oph svc/procedure at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $368.00 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $34.43 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $368.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $32.53 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $795.00 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $368.00 |