Ihc/icc per specimen each multiplex antibody stain at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$393.13
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.
$535.00
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.
$98.98 with AETNA vs $597.81 with UNITED HEALTHCARE — 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 | $98.98 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $109.68 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $142.69 | ↓ -64% |
| OXFORD | ALL PRODUCTS | $289.44 | ↓ -26% |
| KARNA | MEDICARE ADVANTAGE | $319.07 | ↓ -19% |
| HORIZON | PIP | $348.29 | ↓ -11% |
| HORIZON | WORKERS COMP | $359.47 | ↓ -9% |
| HORIZON | OMNIA | $386.32 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $393.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $393.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $393.13 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $393.13 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $401.25 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $412.79 | ↑ +5% |
| AETNA | ASA | $418.91 | ↑ +7% |
| CIGNA | BH | $428.00 | ↑ +9% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $428.00 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $428.51 | ↑ +9% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $454.75 | ↑ +16% |
| AETNA | HMO | $455.82 | ↑ +16% |
| AETNA | PPO | $455.82 | ↑ +16% |
| HORIZON | SHP | $459.24 | ↑ +17% |
| AMERIHEALTH | LOCAL HMO | $464.59 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $471.76 | ↑ +20% |
| HORIZON | INDEMNITY | $476.15 | ↑ +21% |
| HORIZON | HMO | $476.47 | ↑ +21% |
| QUALCARE | HMO | $485.78 | ↑ +24% |
| QUALCARE | PPO | $485.78 | ↑ +24% |
| QUALCARE | WORKERS COMP | $485.78 | ↑ +24% |
| HORIZON | PPO | $489.10 | ↑ +24% |
| CIGNA | HMO | $511.62 | ↑ +30% |
| CIGNA | PPO | $511.62 | ↑ +30% |
| AMERIHEALTH | REGIONAL HMO | $526.23 | ↑ +34% |
| UNITED HEALTHCARE | HMO | $597.81 | ↑ +52% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $398.16 | $142.69 – $597.81 |
| Hackensack University Medical Center | Hackensack | $423.63 | $76.57 – $672.67 |
| Ocean University Medical Center | Brick | $393.13 | $142.69 – $393.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $398.51 | $167.63 – $634.95 |
| Jersey Shore University Medical Center | Neptune City | $398.16 | $142.69 – $650.97 |
| Palisades Medical Center | North Bergen | $423.63 | $84.46 – $1,228.50 |
| Raritan Bay Medical Center | Perth Amboy | $398.51 | $142.69 – $597.81 |
| Riverview Medical Center | Red Bank | $398.16 | $142.69 – $597.81 |