Injection, edaravone, 1 mg at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$18.84
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.
$111.11
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.
$16.01 with HORIZON vs $101.58 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 | $16.01 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $18.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19.78 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $20.00 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $20.54 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $22.61 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $28.41 | ↑ +51% |
| AMERIHEALTH | LOCAL HMO | $32.32 | ↑ +72% |
| AMERIHEALTH | REGIONAL HMO | $35.36 | ↑ +88% |
| WELLCARE | MEDICARE ADVANTAGE | $50.00 | ↑ +165% |
| WELLCARE | MANAGED MEDICAID | $50.00 | ↑ +165% |
| AETNA | MANAGED MEDICAID | $54.44 | ↑ +189% |
| AMERIGROUP | MANAGED MEDICAID | $55.56 | ↑ +195% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $55.56 | ↑ +195% |
| UNITED HEALTHCARE | HMO | $60.11 | ↑ +219% |
| OXFORD | ALL PRODUCTS | $60.11 | ↑ +219% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $65.44 | ↑ +247% |
| BERGEN RISK | ALL PRODUCTS | $66.67 | ↑ +254% |
| AETNA | PPO | $67.33 | ↑ +257% |
| AETNA | HMO | $67.33 | ↑ +257% |
| HORIZON | PIP | $72.33 | ↑ +284% |
| HORIZON | WORKERS COMP | $74.65 | ↑ +296% |
| HORIZON | OMNIA | $80.23 | ↑ +326% |
| AETNA | ASA | $87.00 | ↑ +362% |
| CIGNA | BH | $88.89 | ↑ +372% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $94.44 | ↑ +401% |
| HORIZON | SHP | $95.38 | ↑ +406% |
| HORIZON | INDEMNITY | $98.89 | ↑ +425% |
| HORIZON | HMO | $98.95 | ↑ +425% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $100.00 | ↑ +431% |
| QUALCARE | HMO | $100.89 | ↑ +436% |
| HORIZON | PPO | $101.58 | ↑ +439% |
| 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 | — |
Visitor-reported prices
Comments
Injection, edaravone, 1 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $18.16 – $47.14 |
| Cooperman Barnabas Medical Center | Livingston | not published | $18.16 – $48.64 |
| Community Medical Center | Toms River | not published | $18.16 – $47.14 |
| Clara Maass Medical Center | Belleville | not published | $18.16 – $48.40 |
| Newark Beth Israel Medical Center | Newark | not published | $18.16 – $48.40 |
| Jersey City Medical Center | Jersey City | not published | $18.16 – $50.80 |
| Monmouth Medical Center | Long Branch | not published | $18.16 – $47.76 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $18.16 – $47.14 |