Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$230.26
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.
$715.00
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.
$25.30 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 | $25.30 | ↓ -89% |
| KARNA | MEDICARE ADVANTAGE | $62.44 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $132.28 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $146.58 | ↓ -36% |
| WELLCARE | MANAGED MEDICAID | $230.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $230.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $230.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $230.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $241.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $250.98 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $276.31 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $421.14 | ↑ +83% |
| HORIZON | MANAGED MEDICAID | $453.17 | ↑ +97% |
| HORIZON | PIP | $465.47 | ↑ +102% |
| HORIZON | WORKERS COMP | $480.41 | ↑ +109% |
| HORIZON | OMNIA | $516.30 | ↑ +124% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +133% |
| AETNA | ASA | $559.85 | ↑ +143% |
| CIGNA | BH | $572.00 | ↑ +148% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +164% |
| HORIZON | SHP | $613.76 | ↑ +167% |
| AMERIHEALTH | LOCAL HMO | $620.91 | ↑ +170% |
| HORIZON | INDEMNITY | $636.35 | ↑ +176% |
| HORIZON | HMO | $636.78 | ↑ +177% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $643.50 | ↑ +179% |
| AETNA | HMO | $643.64 | ↑ +180% |
| AETNA | PPO | $643.64 | ↑ +180% |
| QUALCARE | PPO | $649.22 | ↑ +182% |
| QUALCARE | WORKERS COMP | $649.22 | ↑ +182% |
| QUALCARE | HMO | $649.22 | ↑ +182% |
| HORIZON | PPO | $653.65 | ↑ +184% |
| CIGNA | HMO | $683.75 | ↑ +197% |
| CIGNA | PPO | $683.75 | ↑ +197% |
| AMERIHEALTH | REGIONAL HMO | $703.27 | ↑ +205% |
| UNITED HEALTHCARE | HMO | $877.00 | ↑ +281% |
| OXFORD | ALL PRODUCTS | $1,421.00 | ↑ +517% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |
| Hackensack University Medical Center | Hackensack | $248.12 | $65.68 – $1,323.00 |
| Ocean University Medical Center | Brick | $230.26 | $62.44 – $613.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $233.41 | $25.30 – $693.00 |
| Jersey Shore University Medical Center | Neptune City | $233.20 | $25.30 – $985.00 |
| Palisades Medical Center | North Bergen | $248.12 | $62.55 – $320.00 |
| Raritan Bay Medical Center | Perth Amboy | $233.41 | $65.68 – $599.00 |
| Riverview Medical Center | Red Bank | $233.20 | $62.44 – $1,013.00 |