Amylase at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$6.48
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.
$478.00
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.
$6.48 with CLOVER vs $57.05 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $6.48 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6.48 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $6.48 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6.48 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.48 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6.80 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7.78 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $8.44 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $10.73 | ↑ +66% |
| UNITED HEALTHCARE | HMO | $13.30 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.23 | ↑ +120% |
| CIGNA | PPO | $29.69 | ↑ +358% |
| CIGNA | HMO | $29.69 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $31.38 | ↑ +384% |
| HORIZON | MANAGED MEDICAID | $36.76 | ↑ +467% |
| HORIZON | PIP | $37.76 | ↑ +483% |
| HORIZON | WORKERS COMP | $38.97 | ↑ +501% |
| HORIZON | OMNIA | $41.88 | ↑ +546% |
| BERGEN RISK | ALL PRODUCTS | $43.50 | ↑ +571% |
| AETNA | ASA | $45.41 | ↑ +601% |
| CIGNA | BH | $46.40 | ↑ +616% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $46.40 | ↑ +616% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $49.30 | ↑ +661% |
| AETNA | HMO | $49.42 | ↑ +663% |
| AETNA | PPO | $49.42 | ↑ +663% |
| HORIZON | SHP | $49.79 | ↑ +668% |
| AMERIHEALTH | LOCAL HMO | $50.37 | ↑ +677% |
| HORIZON | INDEMNITY | $51.62 | ↑ +697% |
| HORIZON | HMO | $51.65 | ↑ +697% |
| QUALCARE | HMO | $52.66 | ↑ +713% |
| QUALCARE | WORKERS COMP | $52.66 | ↑ +713% |
| QUALCARE | PPO | $52.66 | ↑ +713% |
| HORIZON | PPO | $53.02 | ↑ +718% |
| AMERIHEALTH | REGIONAL HMO | $57.05 | ↑ +780% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Amylase at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $55.20 | $20.01 – $20.01 |
| Bayshore Medical Center | Holmdel | $6.48 | $6.48 – $29.69 |
| Hackensack University Medical Center | Hackensack | $6.48 | $5.18 – $29.10 |
| Ocean University Medical Center | Brick | $6.48 | $4.95 – $29.69 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6.48 | $4.95 – $30.50 |
| Jersey Shore University Medical Center | Neptune City | $6.48 | $5.18 – $29.69 |
| Palisades Medical Center | North Bergen | $6.48 | $6.48 – $29.69 |
| Raritan Bay Medical Center | Perth Amboy | $6.48 | $6.48 – $29.69 |