Cell marker study at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$58.39
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.
$968.00
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.
$58.39 with VACCN vs $952.12 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $58.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $58.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $61.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $63.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $70.07 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $120.89 | ↑ +107% |
| AETNA | MANAGED MEDICAID | $179.08 | ↑ +207% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $198.44 | ↑ +240% |
| KARNA | MEDICARE ADVANTAGE | $307.83 | ↑ +427% |
| OXFORD | ALL PRODUCTS | $523.69 | ↑ +797% |
| HORIZON | MANAGED MEDICAID | $613.52 | ↑ +951% |
| HORIZON | PIP | $630.17 | ↑ +979% |
| HORIZON | WORKERS COMP | $650.40 | ↑ +1014% |
| HORIZON | OMNIA | $698.99 | ↑ +1097% |
| BERGEN RISK | ALL PRODUCTS | $726.00 | ↑ +1143% |
| AETNA | ASA | $757.94 | ↑ +1198% |
| CIGNA | BH | $774.40 | ↑ +1226% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $774.40 | ↑ +1226% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $822.80 | ↑ +1309% |
| AETNA | PPO | $824.74 | ↑ +1312% |
| AETNA | HMO | $824.74 | ↑ +1312% |
| HORIZON | SHP | $830.93 | ↑ +1323% |
| AMERIHEALTH | LOCAL HMO | $840.61 | ↑ +1340% |
| HORIZON | INDEMNITY | $861.52 | ↑ +1375% |
| HORIZON | HMO | $862.10 | ↑ +1376% |
| QUALCARE | WORKERS COMP | $878.94 | ↑ +1405% |
| QUALCARE | HMO | $878.94 | ↑ +1405% |
| QUALCARE | PPO | $878.94 | ↑ +1405% |
| HORIZON | PPO | $884.95 | ↑ +1416% |
| CIGNA | PPO | $925.70 | ↑ +1485% |
| CIGNA | HMO | $925.70 | ↑ +1485% |
| AMERIHEALTH | REGIONAL HMO | $952.12 | ↑ +1531% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $50.34 – $324.12 |
| Ocean University Medical Center | Brick | $58.39 | $53.43 – $307.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $53.43 – $324.12 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $307.83 |
| Palisades Medical Center | North Bergen | $62.92 | $62.92 – $324.12 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $324.12 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $307.83 |