Ventilator initial day at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$722.50
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.
?
What you pay up front if you don't use insurance.
$2,349.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$147.90 with KARNA vs $2,310.48 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $147.90 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $422.82 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $434.57 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $481.55 | ↓ -33% |
| OXFORD | ALL PRODUCTS | $525.00 | ↓ -27% |
| UNITED HEALTHCARE | HMO | $655.00 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $722.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $722.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $722.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $722.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $758.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $787.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $867.00 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,383.56 | ↑ +91% |
| HORIZON | MANAGED MEDICAID | $1,488.80 | ↑ +106% |
| HORIZON | PIP | $1,529.20 | ↑ +112% |
| HORIZON | WORKERS COMP | $1,578.29 | ↑ +118% |
| HORIZON | OMNIA | $1,696.21 | ↑ +135% |
| BERGEN RISK | ALL PRODUCTS | $1,761.75 | ↑ +144% |
| AETNA | ASA | $1,839.27 | ↑ +155% |
| CIGNA | BH | $1,879.20 | ↑ +160% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,996.65 | ↑ +176% |
| HORIZON | SHP | $2,016.38 | ↑ +179% |
| AMERIHEALTH | LOCAL HMO | $2,039.87 | ↑ +182% |
| HORIZON | INDEMNITY | $2,090.61 | ↑ +189% |
| HORIZON | HMO | $2,092.02 | ↑ +190% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,114.10 | ↑ +193% |
| AETNA | HMO | $2,114.57 | ↑ +193% |
| AETNA | PPO | $2,114.57 | ↑ +193% |
| QUALCARE | PPO | $2,132.89 | ↑ +195% |
| QUALCARE | HMO | $2,132.89 | ↑ +195% |
| QUALCARE | WORKERS COMP | $2,132.89 | ↑ +195% |
| HORIZON | PPO | $2,147.46 | ↑ +197% |
| CIGNA | PPO | $2,246.35 | ↑ +211% |
| CIGNA | HMO | $2,246.35 | ↑ +211% |
| AMERIHEALTH | REGIONAL HMO | $2,310.48 | ↑ +220% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ventilator initial day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $598.38 | $45.27 – $1,445.00 |
| Cooperman Barnabas Medical Center | Livingston | $721.51 | $81.52 – $1,483.40 |
| Community Medical Center | Toms River | $661.19 | $83.49 – $1,437.78 |
| Clara Maass Medical Center | Belleville | $566.46 | $80.54 – $1,475.98 |
| Childrens Specialized Hospital | Mountainside | $284.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $709.26 | $46.60 – $1,483.40 |
| Jersey City Medical Center | Jersey City | $662.46 | $58.58 – $1,549.31 |
| Monmouth Medical Center | Long Branch | $697.53 | $161.08 – $1,456.18 |