Galactokinase - sendout at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$21.48
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.
$1,045.00
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.
$21.48 with VACCN vs $260.65 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $21.48 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $21.48 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $21.48 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $21.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21.48 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $21.48 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $23.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $25.78 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $27.98 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $44.09 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.15 | ↑ +120% |
| AETNA | MANAGED MEDICAID | $49.03 | ↑ +128% |
| CIGNA | HMO | $98.43 | ↑ +358% |
| CIGNA | PPO | $98.43 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $143.37 | ↑ +567% |
| HORIZON | MANAGED MEDICAID | $167.96 | ↑ +682% |
| HORIZON | PIP | $172.52 | ↑ +703% |
| HORIZON | WORKERS COMP | $178.05 | ↑ +729% |
| HORIZON | OMNIA | $191.36 | ↑ +791% |
| BERGEN RISK | ALL PRODUCTS | $198.75 | ↑ +825% |
| AETNA | ASA | $207.50 | ↑ +866% |
| CIGNA | BH | $212.00 | ↑ +887% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $212.00 | ↑ +887% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $225.25 | ↑ +949% |
| AETNA | HMO | $225.78 | ↑ +951% |
| AETNA | PPO | $225.78 | ↑ +951% |
| HORIZON | SHP | $227.48 | ↑ +959% |
| AMERIHEALTH | LOCAL HMO | $230.13 | ↑ +971% |
| HORIZON | INDEMNITY | $235.85 | ↑ +998% |
| HORIZON | HMO | $236.01 | ↑ +999% |
| QUALCARE | HMO | $240.62 | ↑ +1020% |
| QUALCARE | WORKERS COMP | $240.62 | ↑ +1020% |
| QUALCARE | PPO | $240.62 | ↑ +1020% |
| HORIZON | PPO | $242.26 | ↑ +1028% |
| AMERIHEALTH | REGIONAL HMO | $260.65 | ↑ +1113% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Galactokinase - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $21.48 | $21.48 – $98.43 |
| Hackensack University Medical Center | Hackensack | $21.48 | $17.18 – $96.46 |
| Ocean University Medical Center | Brick | $21.48 | $12.65 – $98.43 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $21.48 | $12.65 – $101.09 |
| Jersey Shore University Medical Center | Neptune City | $21.48 | $17.18 – $98.43 |
| Palisades Medical Center | North Bergen | $21.48 | $20.75 – $98.43 |
| Raritan Bay Medical Center | Perth Amboy | $21.48 | $21.48 – $98.43 |
| Riverview Medical Center | Red Bank | $21.48 | $14.55 – $98.43 |