CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Southern Ocean Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$130
about 1.0× the $136 Medicare rate · typically $99–$199
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $130 This hospital $127 Hospital's list price $495

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $127

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $130 (about 1.0× the $136 Medicare rate). Southern Ocean Medical Center charges insurers about $127 — about the fair price. Located in Manahawkin, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $111 - $385 82%
Aetnamajor $103 - $446 76%
Cignamajor $396 292%
AmeriHealth $430 - $487 317%
Clover Health $89 66%
+ 7 smaller / regional plans $101 - $453
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1140 Rt 72 W, Manahawkin, NJ 08050
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals