Chemo adm cns w/lmbr punct at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$362.50
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.
$1,986.00
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.
$124.24 with KARNA vs $1,953.43 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $124.24 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $357.48 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $362.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $362.50 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $362.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $362.50 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $367.41 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $380.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $395.12 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $407.13 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $435.00 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,101.00 | ↑ +204% |
| UNITED HEALTHCARE | HMO | $1,122.00 | ↑ +210% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,169.75 | ↑ +223% |
| HORIZON | MANAGED MEDICAID | $1,258.73 | ↑ +247% |
| HORIZON | PIP | $1,292.89 | ↑ +257% |
| HORIZON | WORKERS COMP | $1,334.39 | ↑ +268% |
| HORIZON | OMNIA | $1,434.09 | ↑ +296% |
| BERGEN RISK | ALL PRODUCTS | $1,489.50 | ↑ +311% |
| CIGNA | HMO | $1,552.00 | ↑ +328% |
| AETNA | ASA | $1,555.04 | ↑ +329% |
| CIGNA | BH | $1,588.80 | ↑ +338% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,588.80 | ↑ +338% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,688.10 | ↑ +366% |
| CIGNA | PPO | $1,702.00 | ↑ +370% |
| HORIZON | SHP | $1,704.78 | ↑ +370% |
| AMERIHEALTH | LOCAL HMO | $1,724.64 | ↑ +376% |
| HORIZON | INDEMNITY | $1,767.54 | ↑ +388% |
| HORIZON | HMO | $1,768.73 | ↑ +388% |
| AETNA | HMO | $1,787.80 | ↑ +393% |
| AETNA | PPO | $1,787.80 | ↑ +393% |
| QUALCARE | PPO | $1,803.29 | ↑ +397% |
| QUALCARE | HMO | $1,803.29 | ↑ +397% |
| QUALCARE | WORKERS COMP | $1,803.29 | ↑ +397% |
| HORIZON | PPO | $1,815.60 | ↑ +401% |
| AMERIHEALTH | REGIONAL HMO | $1,953.43 | ↑ +439% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Chemo adm cns w/lmbr punct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $1,576.00 |
| Hackensack University Medical Center | Hackensack | $390.62 | $127.73 – $3,250.00 |
| Ocean University Medical Center | Brick | $362.50 | $124.24 – $1,577.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $367.45 | $127.73 – $1,966.00 |
| Jersey Shore University Medical Center | Neptune City | $367.13 | $124.24 – $1,576.00 |
| Palisades Medical Center | North Bergen | $390.62 | $127.73 – $1,550.00 |
| Raritan Bay Medical Center | Perth Amboy | $367.45 | $127.73 – $1,498.00 |
| Riverview Medical Center | Red Bank | $367.13 | $124.24 – $1,527.00 |