Dalbavancin 500 mg intravenous solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$15.55
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.
$85.02
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.
$13.22 with HORIZON vs $77.73 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $13.22 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $15.30 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $15.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $16.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $18.66 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $19.92 | ↑ +28% |
| AMERIHEALTH | LOCAL HMO | $24.73 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $27.05 | ↑ +74% |
| WELLCARE | MEDICARE ADVANTAGE | $38.26 | ↑ +146% |
| WELLCARE | MANAGED MEDICAID | $38.26 | ↑ +146% |
| AETNA | MANAGED MEDICAID | $41.66 | ↑ +168% |
| AMERIGROUP | MANAGED MEDICAID | $42.51 | ↑ +173% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $42.51 | ↑ +173% |
| UNITED HEALTHCARE | HMO | $46.00 | ↑ +196% |
| OXFORD | ALL PRODUCTS | $46.00 | ↑ +196% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.08 | ↑ +222% |
| BERGEN RISK | ALL PRODUCTS | $51.01 | ↑ +228% |
| AETNA | PPO | $51.52 | ↑ +231% |
| AETNA | HMO | $51.52 | ↑ +231% |
| HORIZON | PIP | $55.35 | ↑ +256% |
| HORIZON | WORKERS COMP | $57.12 | ↑ +267% |
| HORIZON | OMNIA | $61.39 | ↑ +295% |
| AETNA | ASA | $66.57 | ↑ +328% |
| CIGNA | BH | $68.02 | ↑ +337% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $72.27 | ↑ +365% |
| HORIZON | SHP | $72.98 | ↑ +369% |
| HORIZON | INDEMNITY | $75.67 | ↑ +387% |
| HORIZON | HMO | $75.72 | ↑ +387% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $76.52 | ↑ +392% |
| QUALCARE | HMO | $77.20 | ↑ +396% |
| HORIZON | PPO | $77.73 | ↑ +400% |
| 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 | — |