Unlisted px posterior segmnt at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,492.56
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.
$4,347.00
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.
$782.46 with CLOVER vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $782.46 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $804.20 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $891.14 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -52% |
| QUALCARE | HMO | $1,525.00 | ↓ -39% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -33% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,492.56 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,492.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,492.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,492.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,617.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,716.89 | ↑ +9% |
| HORIZON | PIP | $2,829.90 | ↑ +14% |
| HORIZON | WORKERS COMP | $2,920.75 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $2,991.08 | ↑ +20% |
| HORIZON | OMNIA | $3,138.97 | ↑ +26% |
| BERGEN RISK | ALL PRODUCTS | $3,260.25 | ↑ +31% |
| AETNA | ASA | $3,403.70 | ↑ +37% |
| CIGNA | BH | $3,477.60 | ↑ +40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,694.95 | ↑ +48% |
| HORIZON | SHP | $3,731.46 | ↑ +50% |
| AMERIHEALTH | LOCAL HMO | $3,774.93 | ↑ +51% |
| HORIZON | INDEMNITY | $3,868.83 | ↑ +55% |
| HORIZON | HMO | $3,871.44 | ↑ +55% |
| CIGNA | PPO | $3,907.52 | ↑ +57% |
| CIGNA | HMO | $3,907.52 | ↑ +57% |
| QUALCARE | WORKERS COMP | $3,947.08 | ↑ +58% |
| QUALCARE | PPO | $3,947.08 | ↑ +58% |
| HORIZON | PPO | $3,974.03 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $4,275.71 | ↑ +72% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +148% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +205% |
| AETNA | HMO | $9,383.00 | ↑ +276% |
| AETNA | PPO | $9,383.00 | ↑ +276% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +299% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px posterior segmnt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $380.41 – $4,985.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $2,558.80 – $5,117.60 |
| Community Medical Center | Toms River | $3,786.00 | $2,492.56 – $4,960.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $2,558.80 – $5,092.01 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,558.80 – $5,117.60 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,685.92 – $5,344.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $2,524.45 – $5,023.66 |
| Bayshore Medical Center | Holmdel | $2,524.45 | $2,524.45 – $3,029.34 |