Inj, immphentiv, 20 mcg at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$0.13
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.
$0.86
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.
$0.11 with HORIZON vs $0.79 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 | $0.11 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $0.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $0.14 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $0.14 | ↑ +8% |
| CLOVER | MEDICARE ADVANTAGE | $0.15 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $0.16 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $0.25 | ↑ +92% |
| AMERIHEALTH | REGIONAL HMO | $0.27 | ↑ +108% |
| WELLCARE | MANAGED MEDICAID | $0.39 | ↑ +200% |
| WELLCARE | MEDICARE ADVANTAGE | $0.39 | ↑ +200% |
| AETNA | MANAGED MEDICAID | $0.42 | ↑ +223% |
| AMERIGROUP | MANAGED MEDICAID | $0.43 | ↑ +231% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $0.43 | ↑ +231% |
| OXFORD | ALL PRODUCTS | $0.47 | ↑ +262% |
| UNITED HEALTHCARE | HMO | $0.47 | ↑ +262% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $0.51 | ↑ +292% |
| AETNA | PPO | $0.52 | ↑ +300% |
| BERGEN RISK | ALL PRODUCTS | $0.52 | ↑ +300% |
| AETNA | HMO | $0.52 | ↑ +300% |
| HORIZON | PIP | $0.56 | ↑ +331% |
| HORIZON | WORKERS COMP | $0.58 | ↑ +346% |
| HORIZON | OMNIA | $0.62 | ↑ +377% |
| AETNA | ASA | $0.67 | ↑ +415% |
| CIGNA | BH | $0.69 | ↑ +431% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $0.73 | ↑ +462% |
| HORIZON | SHP | $0.74 | ↑ +469% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $0.77 | ↑ +492% |
| HORIZON | INDEMNITY | $0.77 | ↑ +492% |
| HORIZON | HMO | $0.77 | ↑ +492% |
| QUALCARE | HMO | $0.78 | ↑ +500% |
| HORIZON | PPO | $0.79 | ↑ +508% |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj, immphentiv, 20 mcg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $0.13 | $0.11 – $0.14 |
| Jersey Shore University Medical Center | Neptune City | $0.13 | $0.11 – $0.16 |
| Palisades Medical Center | North Bergen | $0.15 | $0.11 – $0.14 |
| Raritan Bay Medical Center | Perth Amboy | $0.13 | $0.11 – $0.16 |
| Riverview Medical Center | Red Bank | $0.13 | $0.11 – $0.16 |