Unsched dialysis esrd pt hos at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$764.71
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.
$3,273.00
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.
$218.00 with UNITED HEALTHCARE vs $4,685.00 with OXFORD — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $218.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $589.14 | ↓ -23% |
| AETNA | MANAGED MEDICAID | $605.51 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $670.97 | ↓ -12% |
| WELLCARE | MANAGED MEDICAID | $764.71 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $764.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $764.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $764.71 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $802.95 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $833.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $917.65 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $1,310.00 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $1,682.65 | ↑ +120% |
| AMERIHEALTH | REGIONAL HMO | $1,875.43 | ↑ +145% |
| HORIZON | MANAGED MEDICAID | $2,074.43 | ↑ +171% |
| HORIZON | PIP | $2,130.72 | ↑ +179% |
| HORIZON | WORKERS COMP | $2,199.13 | ↑ +188% |
| HORIZON | OMNIA | $2,363.43 | ↑ +209% |
| BERGEN RISK | ALL PRODUCTS | $2,454.75 | ↑ +221% |
| AETNA | ASA | $2,562.76 | ↑ +235% |
| CIGNA | BH | $2,618.40 | ↑ +242% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,618.40 | ↑ +242% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,782.05 | ↑ +264% |
| HORIZON | SHP | $2,809.54 | ↑ +267% |
| HORIZON | INDEMNITY | $2,912.97 | ↑ +281% |
| HORIZON | HMO | $2,914.93 | ↑ +281% |
| AETNA | HMO | $2,946.35 | ↑ +285% |
| AETNA | PPO | $2,946.35 | ↑ +285% |
| QUALCARE | HMO | $2,971.88 | ↑ +289% |
| QUALCARE | PPO | $2,971.88 | ↑ +289% |
| QUALCARE | WORKERS COMP | $2,971.88 | ↑ +289% |
| HORIZON | PPO | $2,992.18 | ↑ +291% |
| CIGNA | PPO | $3,129.97 | ↑ +309% |
| CIGNA | HMO | $3,129.97 | ↑ +309% |
| OXFORD | ALL PRODUCTS | $4,685.00 | ↑ +513% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unsched dialysis esrd pt hos at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $363.19 | $107.00 – $1,529.42 |
| Cooperman Barnabas Medical Center | Livingston | $735.92 | $785.03 – $1,570.06 |
| Community Medical Center | Toms River | $401.31 | $764.71 – $1,521.77 |
| Clara Maass Medical Center | Belleville | $639.06 | $785.03 – $1,562.21 |
| Newark Beth Israel Medical Center | Newark | $723.42 | $785.03 – $1,570.06 |
| Jersey City Medical Center | Jersey City | $402.09 | $824.03 – $1,639.82 |
| Monmouth Medical Center | Long Branch | $423.37 | $774.49 – $1,541.24 |
| Bayshore Medical Center | Holmdel | $774.49 | $218.00 – $4,651.00 |