Mecp2 gene dup/delet variant at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$150.00
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.
$704.00
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.
$27.80 with HORIZON vs $687.35 with CIGNA — 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 | $27.80 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $51.43 | ↓ -66% |
| WELLCARE | MANAGED MEDICAID | $150.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $150.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $150.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $150.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $150.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $150.00 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $150.40 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $157.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $163.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $180.00 | ↑ +20% |
| HORIZON | PIP | $180.98 | ↑ +21% |
| HORIZON | WORKERS COMP | $186.79 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $195.38 | ↑ +30% |
| HORIZON | OMNIA | $200.74 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $208.50 | ↑ +39% |
| AETNA | ASA | $217.67 | ↑ +45% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $222.40 | ↑ +48% |
| CIGNA | BH | $222.40 | ↑ +48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $235.65 | ↑ +57% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $236.30 | ↑ +58% |
| AETNA | HMO | $236.86 | ↑ +58% |
| AETNA | PPO | $236.86 | ↑ +58% |
| HORIZON | SHP | $238.64 | ↑ +59% |
| AMERIHEALTH | LOCAL HMO | $241.42 | ↑ +61% |
| HORIZON | INDEMNITY | $247.42 | ↑ +65% |
| HORIZON | HMO | $247.59 | ↑ +65% |
| QUALCARE | WORKERS COMP | $252.42 | ↑ +68% |
| QUALCARE | HMO | $252.42 | ↑ +68% |
| QUALCARE | PPO | $252.42 | ↑ +68% |
| HORIZON | PPO | $254.15 | ↑ +69% |
| AMERIHEALTH | REGIONAL HMO | $273.44 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $307.88 | ↑ +105% |
| CIGNA | HMO | $687.35 | ↑ +358% |
| CIGNA | PPO | $687.35 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mecp2 gene dup/delet variant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $165.00 | $70.50 – $611.54 |
| Cooperman Barnabas Medical Center | Livingston | $165.00 | $70.50 – $611.54 |
| Community Medical Center | Toms River | $165.00 | $70.50 – $611.54 |
| Clara Maass Medical Center | Belleville | $165.00 | $70.50 – $611.54 |
| Newark Beth Israel Medical Center | Newark | $165.00 | $70.50 – $611.54 |
| Jersey City Medical Center | Jersey City | $165.00 | $70.50 – $611.54 |
| Monmouth Medical Center | Long Branch | $165.00 | $70.50 – $611.54 |
| Bayshore Medical Center | Holmdel | $150.00 | $150.00 – $687.35 |