Antithrombin iii injection at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4.09
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.
$22.86
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.
$3.48 with HORIZON vs $20.90 with HORIZON — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $3.48 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.09 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $4.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.29 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4.91 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $5.04 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $6.65 | ↑ +63% |
| AMERIHEALTH | REGIONAL HMO | $7.27 | ↑ +78% |
| WELLCARE | MEDICARE ADVANTAGE | $10.29 | ↑ +152% |
| WELLCARE | MANAGED MEDICAID | $10.29 | ↑ +152% |
| AETNA | MANAGED MEDICAID | $11.20 | ↑ +174% |
| AMERIGROUP | MANAGED MEDICAID | $11.43 | ↑ +179% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.43 | ↑ +179% |
| UNITED HEALTHCARE | HMO | $12.37 | ↑ +202% |
| OXFORD | ALL PRODUCTS | $12.37 | ↑ +202% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $13.46 | ↑ +229% |
| BERGEN RISK | ALL PRODUCTS | $13.72 | ↑ +235% |
| AETNA | PPO | $13.85 | ↑ +239% |
| AETNA | HMO | $13.85 | ↑ +239% |
| HORIZON | PIP | $14.88 | ↑ +264% |
| HORIZON | WORKERS COMP | $15.36 | ↑ +276% |
| HORIZON | OMNIA | $16.51 | ↑ +304% |
| AETNA | ASA | $17.90 | ↑ +338% |
| CIGNA | BH | $18.29 | ↑ +347% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19.43 | ↑ +375% |
| HORIZON | SHP | $19.62 | ↑ +380% |
| HORIZON | INDEMNITY | $20.35 | ↑ +398% |
| HORIZON | HMO | $20.36 | ↑ +398% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $20.57 | ↑ +403% |
| QUALCARE | HMO | $20.76 | ↑ +408% |
| HORIZON | PPO | $20.90 | ↑ +411% |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Antithrombin iii injection at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4.09 | $3.48 – $7.62 |
| Jersey Shore University Medical Center | Neptune City | $4.09 | $3.48 – $5.04 |
| Palisades Medical Center | North Bergen | $3.85 | $3.48 – $7.62 |
| Raritan Bay Medical Center | Perth Amboy | $4.09 | $3.48 – $7.62 |
| Riverview Medical Center | Red Bank | $4.09 | $3.48 – $7.62 |