Fomepizole 1 gram/ml intravenous solution at Southern Ocean Medical Center

1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Sep 4, 2026

$6.03

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$66.04

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.03 with VACCN vs $60.37 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 →

Payer
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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
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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
VACCN ALL PRODUCTS $6.03 ↑ +0%
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE $6.03 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $6.33 ↑ +5%
AETNA MEDICARE ADVANTAGE $6.57 ↑ +9%
UNITED HEALTHCARE DSNP $7.24 ↑ +20%
CLOVER MEDICARE ADVANTAGE $11.89 ↑ +97%
AMERIHEALTH LOCAL HMO $19.21 ↑ +219%
KARNA MEDICARE ADVANTAGE $20.85 ↑ +246%
AMERIHEALTH REGIONAL HMO $21.01 ↑ +248%
WELLCARE MEDICARE ADVANTAGE $29.72 ↑ +393%
WELLCARE MANAGED MEDICAID $29.72 ↑ +393%
AETNA MANAGED MEDICAID $32.36 ↑ +437%
SEOUL MEDICAL GROUP ALL PRODUCTS $33.02 ↑ +448%
AMERIGROUP MANAGED MEDICAID $33.02 ↑ +448%
UNITED HEALTHCARE HMO $35.73 ↑ +493%
OXFORD ALL PRODUCTS $35.73 ↑ +493%
UNITED HEALTHCARE MANAGED MEDICAID $38.90 ↑ +545%
BERGEN RISK ALL PRODUCTS $39.62 ↑ +557%
AETNA PPO $40.02 ↑ +564%
AETNA HMO $40.02 ↑ +564%
HORIZON MANAGED MEDICAID $41.86 ↑ +594%
HORIZON PIP $42.99 ↑ +613%
HORIZON WORKERS COMP $44.37 ↑ +636%
HORIZON OMNIA $47.69 ↑ +691%
AETNA ASA $51.71 ↑ +758%
CIGNA BH $52.83 ↑ +776%
MULTIPLAN - PHCS ALL PRODUCTS $56.13 ↑ +831%
HORIZON SHP $56.69 ↑ +840%
HORIZON INDEMNITY $58.78 ↑ +875%
HORIZON HMO $58.82 ↑ +875%
BRIGHTON HEALTH PLAN ALL PRODUCTS $59.44 ↑ +886%
QUALCARE HMO $59.96 ↑ +894%
HORIZON PPO $60.37 ↑ +901%
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

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Fomepizole 1 gram/ml intravenous solution at other New-jersey hospitals

Hospital City Cash price Negotiated range
JFK Johnson Rehabilitation Institute (JRI) Edison $6.03 $6.03 – $21.29
Jersey Shore University Medical Center Neptune City $6.03 $6.03 – $20.85
Palisades Medical Center North Bergen $6.44 $6.03 – $21.29
Raritan Bay Medical Center Perth Amboy $6.03 $6.03 – $21.29
Riverview Medical Center Red Bank $6.03 $6.03 – $20.85

All New-jersey hospitals for this procedure →