Antigen therapy services at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$50.43
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.
$378.00
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.
$4.94 with KARNA vs $546.00 with UNITED HEALTHCARE — 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 | $4.94 | ↓ -90% |
| WELLCARE | MEDICARE ADVANTAGE | $50.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $50.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $50.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $50.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $52.95 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $54.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $60.51 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $68.04 | ↑ +35% |
| AETNA | MANAGED MEDICAID | $69.93 | ↑ +39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $77.49 | ↑ +54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $222.64 | ↑ +341% |
| HORIZON | MANAGED MEDICAID | $239.58 | ↑ +375% |
| HORIZON | PIP | $246.08 | ↑ +388% |
| HORIZON | WORKERS COMP | $253.98 | ↑ +404% |
| HORIZON | OMNIA | $272.95 | ↑ +441% |
| BERGEN RISK | ALL PRODUCTS | $283.50 | ↑ +462% |
| AETNA | ASA | $295.97 | ↑ +487% |
| CIGNA | BH | $302.40 | ↑ +500% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $321.30 | ↑ +537% |
| HORIZON | SHP | $324.48 | ↑ +543% |
| AMERIHEALTH | LOCAL HMO | $328.26 | ↑ +551% |
| HORIZON | INDEMNITY | $336.42 | ↑ +567% |
| HORIZON | HMO | $336.65 | ↑ +568% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $340.20 | ↑ +575% |
| AETNA | HMO | $340.28 | ↑ +575% |
| AETNA | PPO | $340.28 | ↑ +575% |
| QUALCARE | PPO | $343.22 | ↑ +581% |
| QUALCARE | WORKERS COMP | $343.22 | ↑ +581% |
| QUALCARE | HMO | $343.22 | ↑ +581% |
| HORIZON | PPO | $345.57 | ↑ +585% |
| CIGNA | HMO | $361.48 | ↑ +617% |
| CIGNA | PPO | $361.48 | ↑ +617% |
| AMERIHEALTH | REGIONAL HMO | $371.80 | ↑ +637% |
| OXFORD | ALL PRODUCTS | $393.00 | ↑ +679% |
| UNITED HEALTHCARE | HMO | $546.00 | ↑ +983% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Antigen therapy services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $391.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $5.06 – $540.00 |
| Ocean University Medical Center | Brick | $50.43 | $4.94 – $391.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $51.11 | $5.06 – $641.00 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $4.94 – $411.00 |
| Palisades Medical Center | North Bergen | $54.34 | $5.06 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $51.11 | $5.06 – $387.00 |
| Riverview Medical Center | Red Bank | $51.07 | $4.94 – $396.00 |