Mitomycin 40 mg intravenous solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$28.27
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.
$735.86
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.
$10.09 with CLOVER vs $82.51 with KARNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $10.09 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $16.31 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $17.84 | ↓ -37% |
| HORIZON | MANAGED MEDICAID | $24.03 | ↓ -15% |
| WELLCARE | MANAGED MEDICAID | $25.23 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $25.23 | ↓ -11% |
| AETNA | MANAGED MEDICAID | $27.47 | ↓ -3% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $28.03 | ↓ -1% |
| AMERIGROUP | MANAGED MEDICAID | $28.03 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $28.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $28.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $29.68 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $30.33 | ↑ +7% |
| UNITED HEALTHCARE | HMO | $30.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $30.81 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $33.02 | ↑ +17% |
| BERGEN RISK | ALL PRODUCTS | $33.64 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $33.92 | ↑ +20% |
| AETNA | HMO | $33.97 | ↑ +20% |
| AETNA | PPO | $33.97 | ↑ +20% |
| HORIZON | PIP | $36.50 | ↑ +29% |
| HORIZON | WORKERS COMP | $37.67 | ↑ +33% |
| HORIZON | OMNIA | $40.48 | ↑ +43% |
| AETNA | ASA | $43.89 | ↑ +55% |
| CIGNA | BH | $44.85 | ↑ +59% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $47.65 | ↑ +69% |
| HORIZON | SHP | $48.12 | ↑ +70% |
| HORIZON | INDEMNITY | $49.89 | ↑ +76% |
| HORIZON | HMO | $49.93 | ↑ +77% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $50.45 | ↑ +78% |
| QUALCARE | HMO | $50.90 | ↑ +80% |
| HORIZON | PPO | $51.25 | ↑ +81% |
| KARNA | MEDICARE ADVANTAGE | $82.51 | ↑ +192% |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $22.78 – $100.81 |
| Cooperman Barnabas Medical Center | Livingston | not published | $21.12 – $104.00 |
| Community Medical Center | Toms River | not published | $21.12 – $100.81 |
| Clara Maass Medical Center | Belleville | not published | $21.12 – $103.48 |
| Newark Beth Israel Medical Center | Newark | not published | $21.12 – $103.48 |
| Jersey City Medical Center | Jersey City | not published | $21.12 – $108.61 |
| Monmouth Medical Center | Long Branch | not published | $21.12 – $102.09 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $21.12 – $100.81 |