Blood split unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$154.97
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.
$451.00
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.
$81.18 with CLOVER vs $4,793.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $81.18 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $83.44 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.46 | ↓ -40% |
| KARNA | MEDICARE ADVANTAGE | $128.12 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $154.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $154.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $154.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $154.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $162.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $168.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $185.96 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $265.64 | ↑ +71% |
| HORIZON | PIP | $293.60 | ↑ +89% |
| HORIZON | WORKERS COMP | $303.03 | ↑ +96% |
| HORIZON | OMNIA | $325.67 | ↑ +110% |
| BERGEN RISK | ALL PRODUCTS | $338.25 | ↑ +118% |
| AETNA | ASA | $353.13 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $359.00 | ↑ +132% |
| CIGNA | BH | $360.80 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $383.35 | ↑ +147% |
| HORIZON | SHP | $387.14 | ↑ +150% |
| AMERIHEALTH | LOCAL HMO | $391.65 | ↑ +153% |
| HORIZON | INDEMNITY | $401.39 | ↑ +159% |
| HORIZON | HMO | $401.66 | ↑ +159% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $405.90 | ↑ +162% |
| AETNA | HMO | $405.99 | ↑ +162% |
| AETNA | PPO | $405.99 | ↑ +162% |
| QUALCARE | PPO | $409.51 | ↑ +164% |
| QUALCARE | WORKERS COMP | $409.51 | ↑ +164% |
| QUALCARE | HMO | $409.51 | ↑ +164% |
| HORIZON | PPO | $412.30 | ↑ +166% |
| CIGNA | PPO | $431.29 | ↑ +178% |
| CIGNA | HMO | $431.29 | ↑ +178% |
| AMERIHEALTH | REGIONAL HMO | $443.60 | ↑ +186% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +2993% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Blood split unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $157.09 | $130.83 – $382.00 |
| Jersey Shore University Medical Center | Neptune City | $156.95 | $128.12 – $380.00 |
| Palisades Medical Center | North Bergen | $166.99 | $130.83 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $157.09 | $130.83 – $353.00 |
| Riverview Medical Center | Red Bank | $156.95 | $128.12 – $361.00 |