Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$50.43
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.
$461.00
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.
$11.73 with HORIZON vs $1,421.00 with OXFORD — 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 | BH | $11.73 | ↓ -77% |
| KARNA | MEDICARE ADVANTAGE | $26.02 | ↓ -48% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $50.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $50.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $50.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $50.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $52.95 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $54.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $60.51 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $82.98 | ↑ +65% |
| AETNA | MANAGED MEDICAID | $85.29 | ↑ +69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.51 | ↑ +87% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $271.53 | ↑ +438% |
| HORIZON | MANAGED MEDICAID | $292.18 | ↑ +479% |
| HORIZON | PIP | $300.11 | ↑ +495% |
| HORIZON | WORKERS COMP | $309.75 | ↑ +514% |
| HORIZON | OMNIA | $332.89 | ↑ +560% |
| BERGEN RISK | ALL PRODUCTS | $345.75 | ↑ +586% |
| AETNA | ASA | $360.96 | ↑ +616% |
| CIGNA | BH | $368.80 | ↑ +631% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.85 | ↑ +677% |
| HORIZON | SHP | $395.72 | ↑ +685% |
| AMERIHEALTH | LOCAL HMO | $400.33 | ↑ +694% |
| HORIZON | INDEMNITY | $410.29 | ↑ +714% |
| HORIZON | HMO | $410.57 | ↑ +714% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $414.90 | ↑ +723% |
| AETNA | HMO | $414.99 | ↑ +723% |
| AETNA | PPO | $414.99 | ↑ +723% |
| QUALCARE | PPO | $418.59 | ↑ +730% |
| QUALCARE | WORKERS COMP | $418.59 | ↑ +730% |
| QUALCARE | HMO | $418.59 | ↑ +730% |
| HORIZON | PPO | $421.45 | ↑ +736% |
| CIGNA | HMO | $440.85 | ↑ +774% |
| CIGNA | PPO | $440.85 | ↑ +774% |
| AMERIHEALTH | REGIONAL HMO | $453.44 | ↑ +799% |
| UNITED HEALTHCARE | HMO | $877.00 | ↑ +1639% |
| OXFORD | ALL PRODUCTS | $1,421.00 | ↑ +2718% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $875.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $27.32 – $1,323.00 |
| Ocean University Medical Center | Brick | $50.43 | $26.02 – $613.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $51.11 | $11.73 – $693.00 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $11.73 – $985.00 |
| Palisades Medical Center | North Bergen | $54.34 | $27.32 – $320.00 |
| Raritan Bay Medical Center | Perth Amboy | $51.11 | $27.32 – $599.00 |
| Riverview Medical Center | Red Bank | $51.07 | $26.02 – $1,013.00 |