Chromosome analysis 100 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$173.17
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.
$1,582.00
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.
$72.52 with AETNA vs $793.53 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 | $72.52 | ↓ -58% |
| WELLCARE | MEDICARE ADVANTAGE | $173.17 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $173.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.17 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $173.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.17 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.80 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $212.07 | ↑ +22% |
| KARNA | MEDICARE ADVANTAGE | $225.55 | ↑ +30% |
| HORIZON | MANAGED MEDICAID | $248.45 | ↑ +43% |
| HORIZON | PIP | $255.19 | ↑ +47% |
| HORIZON | WORKERS COMP | $263.38 | ↑ +52% |
| HORIZON | OMNIA | $283.06 | ↑ +63% |
| BERGEN RISK | ALL PRODUCTS | $294.00 | ↑ +70% |
| AETNA | ASA | $306.94 | ↑ +77% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $313.60 | ↑ +81% |
| CIGNA | BH | $313.60 | ↑ +81% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $333.20 | ↑ +92% |
| AETNA | HMO | $333.98 | ↑ +93% |
| AETNA | PPO | $333.98 | ↑ +93% |
| HORIZON | SHP | $336.49 | ↑ +94% |
| AMERIHEALTH | LOCAL HMO | $340.41 | ↑ +97% |
| HORIZON | INDEMNITY | $348.88 | ↑ +101% |
| HORIZON | HMO | $349.12 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $355.43 | ↑ +105% |
| QUALCARE | WORKERS COMP | $355.94 | ↑ +106% |
| QUALCARE | HMO | $355.94 | ↑ +106% |
| QUALCARE | PPO | $355.94 | ↑ +106% |
| HORIZON | PPO | $358.37 | ↑ +107% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $380.12 | ↑ +120% |
| AMERIHEALTH | REGIONAL HMO | $385.57 | ↑ +123% |
| CIGNA | HMO | $793.53 | ↑ +358% |
| CIGNA | PPO | $793.53 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Chromosome analysis 100 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.17 | $173.17 – $793.53 |
| Hackensack University Medical Center | Hackensack | $173.17 | $138.54 – $777.62 |
| Ocean University Medical Center | Brick | $173.17 | $173.17 – $793.53 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.17 | $173.17 – $814.98 |
| Jersey Shore University Medical Center | Neptune City | $173.17 | $138.54 – $793.53 |
| Palisades Medical Center | North Bergen | $173.17 | $160.90 – $793.53 |
| Raritan Bay Medical Center | Perth Amboy | $173.17 | $173.17 – $793.53 |
| Riverview Medical Center | Red Bank | $173.17 | $112.83 – $793.53 |