Version cephalic external at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,474.84
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.
$6,175.00
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.
$212.07 with KARNA vs $6,073.73 with AMERIHEALTH — 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 | $212.07 | ↓ -94% |
| CLOVER | MEDICARE ADVANTAGE | $1,111.50 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $1,142.38 | ↓ -67% |
| UNITED HEALTHCARE | HMO | $1,153.00 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,265.88 | ↓ -64% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -52% |
| QUALCARE | HMO | $1,982.00 | ↓ -43% |
| CIGNA | HMO | $2,249.00 | ↓ -35% |
| CIGNA | PPO | $2,518.00 | ↓ -28% |
| WELLCARE | MANAGED MEDICAID | $3,474.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,474.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,474.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,474.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,648.59 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $3,709.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,787.58 | ↑ +9% |
| HORIZON | PIP | $4,019.93 | ↑ +16% |
| HORIZON | WORKERS COMP | $4,148.98 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,169.81 | ↑ +20% |
| HORIZON | OMNIA | $4,458.97 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $4,631.25 | ↑ +33% |
| AETNA | ASA | $4,835.03 | ↑ +39% |
| CIGNA | BH | $4,940.00 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,248.75 | ↑ +51% |
| HORIZON | SHP | $5,300.62 | ↑ +53% |
| AMERIHEALTH | LOCAL HMO | $5,362.37 | ↑ +54% |
| HORIZON | INDEMNITY | $5,495.75 | ↑ +58% |
| HORIZON | HMO | $5,499.46 | ↑ +58% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,557.50 | ↑ +60% |
| AETNA | HMO | $5,558.74 | ↑ +60% |
| AETNA | PPO | $5,558.74 | ↑ +60% |
| QUALCARE | WORKERS COMP | $5,606.90 | ↑ +61% |
| QUALCARE | PPO | $5,606.90 | ↑ +61% |
| HORIZON | PPO | $5,645.19 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $6,073.73 | ↑ +75% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Version cephalic external at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $52.18 – $6,949.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $78.83 – $7,134.36 |
| Community Medical Center | Toms River | $3,786.00 | $80.73 – $6,914.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $77.88 – $7,098.69 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $53.72 – $7,134.36 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $67.53 – $7,451.38 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $155.77 – $7,003.39 |
| Bayshore Medical Center | Holmdel | $3,519.29 | $3,519.29 – $4,223.15 |