Alpha-fetoprotein amniotic at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$17.00
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.
$86.00
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.
$8.51 with AETNA vs $77.90 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $8.51 | ↓ -50% |
| WELLCARE | MEDICARE ADVANTAGE | $17.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $17.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $18.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $20.40 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $22.14 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $24.89 | ↑ +46% |
| HORIZON | MANAGED MEDICAID | $29.15 | ↑ +71% |
| HORIZON | PIP | $29.95 | ↑ +76% |
| HORIZON | WORKERS COMP | $30.91 | ↑ +82% |
| HORIZON | OMNIA | $33.22 | ↑ +95% |
| BERGEN RISK | ALL PRODUCTS | $34.50 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $34.89 | ↑ +105% |
| AETNA | ASA | $36.02 | ↑ +112% |
| CIGNA | BH | $36.80 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.80 | ↑ +116% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.82 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $39.10 | ↑ +130% |
| AETNA | HMO | $39.19 | ↑ +131% |
| AETNA | PPO | $39.19 | ↑ +131% |
| HORIZON | SHP | $39.49 | ↑ +132% |
| AMERIHEALTH | LOCAL HMO | $39.95 | ↑ +135% |
| HORIZON | INDEMNITY | $40.94 | ↑ +141% |
| HORIZON | HMO | $40.97 | ↑ +141% |
| QUALCARE | HMO | $41.77 | ↑ +146% |
| QUALCARE | WORKERS COMP | $41.77 | ↑ +146% |
| QUALCARE | PPO | $41.77 | ↑ +146% |
| HORIZON | PPO | $42.05 | ↑ +147% |
| AMERIHEALTH | REGIONAL HMO | $45.25 | ↑ +166% |
| CIGNA | HMO | $77.90 | ↑ +358% |
| CIGNA | PPO | $77.90 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-fetoprotein amniotic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $17.00 | $17.00 – $77.90 |
| Hackensack University Medical Center | Hackensack | $17.00 | $13.60 – $76.34 |
| Ocean University Medical Center | Brick | $17.00 | $11.22 – $77.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.00 | $11.22 – $80.01 |
| Jersey Shore University Medical Center | Neptune City | $17.00 | $13.60 – $77.90 |
| Palisades Medical Center | North Bergen | $17.00 | $16.73 – $77.90 |
| Raritan Bay Medical Center | Perth Amboy | $17.00 | $17.00 – $77.90 |
| Riverview Medical Center | Red Bank | $17.00 | $11.73 – $77.90 |