C-1 esterase, cinryze at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$65.73
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.87 with HORIZON vs $126.62 with OXFORD — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.87 | ↓ -15% |
| VACCN | ALL PRODUCTS | $65.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.02 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.88 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $81.48 | ↑ +24% |
| UNITED HEALTHCARE | HMO | $126.62 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $126.62 | ↑ +93% |
Visitor-reported prices
Comments
C-1 esterase, cinryze at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.73 | $55.87 – $126.62 |
| Jersey Shore University Medical Center | Neptune City | $65.73 | $55.87 – $130.60 |
| Palisades Medical Center | North Bergen | $64.21 | $55.87 – $126.62 |
| Raritan Bay Medical Center | Perth Amboy | $65.73 | $55.87 – $126.62 |
| Riverview Medical Center | Red Bank | $65.73 | $55.87 – $126.62 |