Aqaprn-4 antb flo cytmtry ea at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$37.73
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.
$1,513.00
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.
$18.93 with UNITED HEALTHCARE vs $1,420.32 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $18.93 | ↓ -50% |
| UNITED HEALTHCARE | HMO | $24.73 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $37.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $37.73 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $37.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $37.73 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $37.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $37.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $41.13 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $45.28 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $49.14 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $267.14 | ↑ +608% |
| OXFORD | ALL PRODUCTS | $781.20 | ↑ +1971% |
| HORIZON | MANAGED MEDICAID | $915.21 | ↑ +2326% |
| HORIZON | PIP | $940.04 | ↑ +2391% |
| HORIZON | WORKERS COMP | $970.22 | ↑ +2471% |
| HORIZON | OMNIA | $1,042.71 | ↑ +2664% |
| BERGEN RISK | ALL PRODUCTS | $1,083.00 | ↑ +2770% |
| AETNA | ASA | $1,130.65 | ↑ +2897% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,155.20 | ↑ +2962% |
| CIGNA | BH | $1,155.20 | ↑ +2962% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,227.40 | ↑ +3153% |
| AETNA | PPO | $1,230.29 | ↑ +3161% |
| AETNA | HMO | $1,230.29 | ↑ +3161% |
| HORIZON | SHP | $1,239.53 | ↑ +3185% |
| AMERIHEALTH | LOCAL HMO | $1,253.97 | ↑ +3224% |
| HORIZON | INDEMNITY | $1,285.16 | ↑ +3306% |
| HORIZON | HMO | $1,286.03 | ↑ +3309% |
| QUALCARE | WORKERS COMP | $1,311.15 | ↑ +3375% |
| QUALCARE | PPO | $1,311.15 | ↑ +3375% |
| QUALCARE | HMO | $1,311.15 | ↑ +3375% |
| HORIZON | PPO | $1,320.10 | ↑ +3399% |
| CIGNA | PPO | $1,380.90 | ↑ +3560% |
| CIGNA | HMO | $1,380.90 | ↑ +3560% |
| AMERIHEALTH | REGIONAL HMO | $1,420.32 | ↑ +3664% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Aqaprn-4 antb flo cytmtry ea at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $37.73 | $18.93 – $39.62 |
| Hackensack University Medical Center | Hackensack | $37.73 | $7.17 – $50.18 |
| Ocean University Medical Center | Brick | $37.73 | $10.60 – $49.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $37.73 | $10.60 – $50.18 |
| Jersey Shore University Medical Center | Neptune City | $37.73 | $18.93 – $49.14 |
| Palisades Medical Center | North Bergen | $37.73 | $7.90 – $50.18 |
| Raritan Bay Medical Center | Perth Amboy | $37.73 | $18.93 – $50.18 |
| Riverview Medical Center | Red Bank | $37.73 | $5.54 – $49.14 |