Cyclophosphamide 1 gram intravenous powder for solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$0.62
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.
$14.46
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.
$0.48 with CLOVER vs $2.43 with HORIZON — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $0.48 | ↓ -23% |
| HORIZON | MANAGED MEDICAID | $0.53 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $0.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $0.65 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $0.68 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $0.74 | ↑ +19% |
| AMERIHEALTH | LOCAL HMO | $0.77 | ↑ +24% |
| AMERIHEALTH | REGIONAL HMO | $0.85 | ↑ +37% |
| KARNA | MEDICARE ADVANTAGE | $1.20 | ↑ +94% |
| WELLCARE | MEDICARE ADVANTAGE | $1.20 | ↑ +94% |
| WELLCARE | MANAGED MEDICAID | $1.20 | ↑ +94% |
| AETNA | MANAGED MEDICAID | $1.30 | ↑ +110% |
| AMERIGROUP | MANAGED MEDICAID | $1.33 | ↑ +115% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1.33 | ↑ +115% |
| OXFORD | ALL PRODUCTS | $1.44 | ↑ +132% |
| UNITED HEALTHCARE | HMO | $1.44 | ↑ +132% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1.57 | ↑ +153% |
| BERGEN RISK | ALL PRODUCTS | $1.60 | ↑ +158% |
| AETNA | HMO | $1.61 | ↑ +160% |
| AETNA | PPO | $1.61 | ↑ +160% |
| HORIZON | PIP | $1.73 | ↑ +179% |
| HORIZON | WORKERS COMP | $1.79 | ↑ +189% |
| HORIZON | OMNIA | $1.92 | ↑ +210% |
| AETNA | ASA | $2.08 | ↑ +235% |
| CIGNA | BH | $2.13 | ↑ +244% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2.26 | ↑ +265% |
| HORIZON | SHP | $2.28 | ↑ +268% |
| HORIZON | HMO | $2.37 | ↑ +282% |
| HORIZON | INDEMNITY | $2.37 | ↑ +282% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2.39 | ↑ +285% |
| QUALCARE | HMO | $2.42 | ↑ +290% |
| HORIZON | PPO | $2.43 | ↑ +292% |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 1 gram intravenous powder for solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Palisades Medical Center | North Bergen | $1.01 | $0.53 – $1.22 |