Cytopath tbs c/v manual at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$18.19
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.
$90.00
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.
$16.65 with AETNA vs $88.52 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $16.65 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $18.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.19 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.83 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.83 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.13 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23.19 | ↑ +27% |
| UNITED HEALTHCARE | HMO | $31.10 | ↑ +71% |
| OXFORD | ALL PRODUCTS | $48.69 | ↑ +168% |
| HORIZON | PIP | $58.59 | ↑ +222% |
| HORIZON | WORKERS COMP | $60.47 | ↑ +232% |
| HORIZON | OMNIA | $64.99 | ↑ +257% |
| BERGEN RISK | ALL PRODUCTS | $67.50 | ↑ +271% |
| CIGNA | HMO | $69.42 | ↑ +282% |
| CIGNA | PPO | $69.42 | ↑ +282% |
| AETNA | ASA | $70.47 | ↑ +287% |
| CIGNA | BH | $72.00 | ↑ +296% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $72.00 | ↑ +296% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $76.50 | ↑ +321% |
| AETNA | PPO | $76.68 | ↑ +322% |
| AETNA | HMO | $76.68 | ↑ +322% |
| HORIZON | SHP | $77.26 | ↑ +325% |
| AMERIHEALTH | LOCAL HMO | $78.16 | ↑ +330% |
| HORIZON | INDEMNITY | $80.10 | ↑ +340% |
| HORIZON | HMO | $80.15 | ↑ +341% |
| QUALCARE | PPO | $81.72 | ↑ +349% |
| QUALCARE | HMO | $81.72 | ↑ +349% |
| QUALCARE | WORKERS COMP | $81.72 | ↑ +349% |
| HORIZON | PPO | $82.28 | ↑ +352% |
| AMERIHEALTH | REGIONAL HMO | $88.52 | ↑ +387% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cytopath tbs c/v manual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $18.19 | $18.19 – $69.42 |
| Hackensack University Medical Center | Hackensack | $18.19 | $14.55 – $68.03 |
| Ocean University Medical Center | Brick | $18.19 | $6.60 – $69.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $18.19 | $6.60 – $71.30 |
| Jersey Shore University Medical Center | Neptune City | $18.19 | $14.55 – $69.42 |
| Palisades Medical Center | North Bergen | $18.19 | $18.19 – $69.42 |
| Raritan Bay Medical Center | Perth Amboy | $18.19 | $18.19 – $69.42 |
| Riverview Medical Center | Red Bank | $18.19 | $18.19 – $69.42 |