Crystal identification light microscopy at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$7.33
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.
$144.00
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.
$2.59 with AETNA vs $33.59 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 | $2.59 | ↓ -65% |
| WELLCARE | MEDICARE ADVANTAGE | $7.33 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $7.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7.33 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $7.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.33 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7.33 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $7.57 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7.70 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $8.80 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $8.87 | ↑ +21% |
| HORIZON | PIP | $9.11 | ↑ +24% |
| HORIZON | WORKERS COMP | $9.41 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $9.55 | ↑ +30% |
| HORIZON | OMNIA | $10.11 | ↑ +38% |
| BERGEN RISK | ALL PRODUCTS | $10.50 | ↑ +43% |
| AETNA | ASA | $10.96 | ↑ +50% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11.20 | ↑ +53% |
| CIGNA | BH | $11.20 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11.90 | ↑ +62% |
| AETNA | HMO | $11.93 | ↑ +63% |
| AETNA | PPO | $11.93 | ↑ +63% |
| HORIZON | SHP | $12.02 | ↑ +64% |
| AMERIHEALTH | LOCAL HMO | $12.16 | ↑ +66% |
| HORIZON | INDEMNITY | $12.46 | ↑ +70% |
| HORIZON | HMO | $12.47 | ↑ +70% |
| QUALCARE | PPO | $12.71 | ↑ +73% |
| QUALCARE | WORKERS COMP | $12.71 | ↑ +73% |
| QUALCARE | HMO | $12.71 | ↑ +73% |
| HORIZON | PPO | $12.80 | ↑ +75% |
| AMERIHEALTH | REGIONAL HMO | $13.77 | ↑ +88% |
| UNITED HEALTHCARE | HMO | $15.04 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $15.69 | ↑ +114% |
| CIGNA | HMO | $33.59 | ↑ +358% |
| CIGNA | PPO | $33.59 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Crystal identification light microscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7.33 | $7.33 – $33.59 |
| Hackensack University Medical Center | Hackensack | $7.33 | $5.86 – $32.92 |
| Ocean University Medical Center | Brick | $7.33 | $7.33 – $33.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7.33 | $7.33 – $34.50 |
| Jersey Shore University Medical Center | Neptune City | $7.33 | $5.86 – $33.59 |
| Palisades Medical Center | North Bergen | $7.33 | $7.33 – $33.59 |
| Raritan Bay Medical Center | Perth Amboy | $7.33 | $7.33 – $33.59 |
| Riverview Medical Center | Red Bank | $7.33 | $7.33 – $33.59 |