Cholesterol (Lipid) Test at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$13.39
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.
$260.00
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.
$6.11 with AETNA vs $61.36 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $6.11 | ↓ -54% |
| WELLCARE | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.39 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.39 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.60 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16.07 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.44 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $17.85 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $20.92 | ↑ +56% |
| HORIZON | PIP | $21.48 | ↑ +60% |
| HORIZON | WORKERS COMP | $22.17 | ↑ +66% |
| HORIZON | OMNIA | $23.83 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $24.75 | ↑ +85% |
| AETNA | ASA | $25.84 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $26.40 | ↑ +97% |
| CIGNA | BH | $26.40 | ↑ +97% |
| UNITED HEALTHCARE | HMO | $27.48 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28.05 | ↑ +109% |
| AETNA | HMO | $28.12 | ↑ +110% |
| AETNA | PPO | $28.12 | ↑ +110% |
| HORIZON | SHP | $28.33 | ↑ +112% |
| AMERIHEALTH | LOCAL HMO | $28.66 | ↑ +114% |
| HORIZON | INDEMNITY | $29.37 | ↑ +119% |
| HORIZON | HMO | $29.39 | ↑ +119% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $29.41 | ↑ +120% |
| QUALCARE | WORKERS COMP | $29.96 | ↑ +124% |
| QUALCARE | PPO | $29.96 | ↑ +124% |
| QUALCARE | HMO | $29.96 | ↑ +124% |
| HORIZON | PPO | $30.17 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $32.46 | ↑ +142% |
| CIGNA | HMO | $61.36 | ↑ +358% |
| CIGNA | PPO | $61.36 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $102.00 | $36.98 – $36.98 |
| Bayshore Medical Center | Holmdel | $13.39 | $13.39 – $61.36 |
| Hackensack University Medical Center | Hackensack | $13.39 | $10.71 – $60.13 |
| Ocean University Medical Center | Brick | $13.39 | $13.39 – $61.36 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.39 | $13.39 – $63.02 |
| Jersey Shore University Medical Center | Neptune City | $13.39 | $10.71 – $61.36 |
| Palisades Medical Center | North Bergen | $13.39 | $13.39 – $61.36 |
| Raritan Bay Medical Center | Perth Amboy | $13.39 | $13.39 – $61.36 |