Inj, fulvestrant (fresenius) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3.32
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.
$197.44
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.
$2.82 with HORIZON vs $69.03 with KARNA — 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 | $2.82 | ↓ -15% |
| VACCN | ALL PRODUCTS | $3.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.49 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3.98 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $13.08 | ↑ +294% |
| AMERIHEALTH | LOCAL HMO | $21.15 | ↑ +537% |
| AMERIHEALTH | REGIONAL HMO | $23.13 | ↑ +597% |
| WELLCARE | MANAGED MEDICAID | $32.71 | ↑ +885% |
| WELLCARE | MEDICARE ADVANTAGE | $32.71 | ↑ +885% |
| AETNA | MANAGED MEDICAID | $35.62 | ↑ +973% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $36.35 | ↑ +995% |
| AMERIGROUP | MANAGED MEDICAID | $36.35 | ↑ +995% |
| UNITED HEALTHCARE | HMO | $39.33 | ↑ +1085% |
| OXFORD | ALL PRODUCTS | $39.33 | ↑ +1085% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $42.81 | ↑ +1189% |
| BERGEN RISK | ALL PRODUCTS | $43.61 | ↑ +1214% |
| AETNA | HMO | $44.05 | ↑ +1227% |
| AETNA | PPO | $44.05 | ↑ +1227% |
| HORIZON | PIP | $47.32 | ↑ +1325% |
| HORIZON | WORKERS COMP | $48.84 | ↑ +1371% |
| HORIZON | OMNIA | $52.49 | ↑ +1481% |
| AETNA | ASA | $56.92 | ↑ +1614% |
| CIGNA | BH | $58.15 | ↑ +1652% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $61.79 | ↑ +1761% |
| HORIZON | SHP | $62.40 | ↑ +1780% |
| HORIZON | INDEMNITY | $64.69 | ↑ +1848% |
| HORIZON | HMO | $64.74 | ↑ +1850% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $65.42 | ↑ +1870% |
| QUALCARE | HMO | $66.00 | ↑ +1888% |
| HORIZON | PPO | $66.45 | ↑ +1902% |
| KARNA | MEDICARE ADVANTAGE | $69.03 | ↑ +1979% |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Inj, fulvestrant (fresenius) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $2.95 – $56.18 |
| Cooperman Barnabas Medical Center | Livingston | not published | $2.95 – $56.18 |
| Community Medical Center | Toms River | not published | $2.95 – $56.18 |
| Clara Maass Medical Center | Belleville | not published | $2.95 – $56.18 |
| Newark Beth Israel Medical Center | Newark | not published | $2.95 – $56.18 |
| Jersey City Medical Center | Jersey City | not published | $2.95 – $56.18 |
| Monmouth Medical Center | Long Branch | not published | $2.95 – $56.18 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $2.95 – $56.18 |