Insitu hybridization (fish) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$187.28
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.
$1,139.00
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.
$71.04 with AETNA vs $597.81 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $71.04 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.72 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.62 | ↓ -14% |
| VACCN | ALL PRODUCTS | $187.28 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $187.28 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $187.28 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $187.28 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $196.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $204.13 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $207.74 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $224.73 | ↑ +20% |
| HORIZON | PIP | $249.98 | ↑ +33% |
| HORIZON | WORKERS COMP | $258.01 | ↑ +38% |
| HORIZON | OMNIA | $277.29 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $288.00 | ↑ +54% |
| AETNA | ASA | $300.67 | ↑ +61% |
| CIGNA | BH | $307.20 | ↑ +64% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.20 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $326.40 | ↑ +74% |
| AETNA | HMO | $327.17 | ↑ +75% |
| AETNA | PPO | $327.17 | ↑ +75% |
| HORIZON | SHP | $329.63 | ↑ +76% |
| AMERIHEALTH | LOCAL HMO | $333.47 | ↑ +78% |
| HORIZON | INDEMNITY | $341.76 | ↑ +82% |
| HORIZON | HMO | $341.99 | ↑ +83% |
| QUALCARE | HMO | $348.67 | ↑ +86% |
| QUALCARE | PPO | $348.67 | ↑ +86% |
| QUALCARE | WORKERS COMP | $348.67 | ↑ +86% |
| HORIZON | PPO | $351.05 | ↑ +87% |
| CIGNA | PPO | $367.22 | ↑ +96% |
| CIGNA | HMO | $367.22 | ↑ +96% |
| AMERIHEALTH | REGIONAL HMO | $377.70 | ↑ +102% |
| KARNA | MEDICARE ADVANTAGE | $500.92 | ↑ +167% |
| HORIZON | MANAGED MEDICAID | $572.32 | ↑ +206% |
| UNITED HEALTHCARE | HMO | $597.81 | ↑ +219% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $160.62 – $597.81 |
| Hackensack University Medical Center | Hackensack | $201.80 | $97.33 – $672.67 |
| Ocean University Medical Center | Brick | $187.28 | $160.62 – $500.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $171.36 – $634.95 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $160.62 – $650.97 |
| Palisades Medical Center | North Bergen | $201.80 | $107.37 – $1,228.50 |
| Raritan Bay Medical Center | Perth Amboy | $189.84 | $160.62 – $597.81 |
| Riverview Medical Center | Red Bank | $189.67 | $160.62 – $597.81 |