Phenylep ketorolac opth soln at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$106.47
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.
$630.90
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.
$106.47 with HORIZON BCBS BRAVEN vs $576.77 with HORIZON — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $106.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $106.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.79 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $113.56 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $116.05 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $127.76 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $183.53 | ↑ +72% |
| KARNA | MEDICARE ADVANTAGE | $189.19 | ↑ +78% |
| AMERIHEALTH | REGIONAL HMO | $200.75 | ↑ +89% |
| WELLCARE | MEDICARE ADVANTAGE | $283.91 | ↑ +167% |
| WELLCARE | MANAGED MEDICAID | $283.91 | ↑ +167% |
| AETNA | MANAGED MEDICAID | $309.14 | ↑ +190% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $315.45 | ↑ +196% |
| AMERIGROUP | MANAGED MEDICAID | $315.45 | ↑ +196% |
| UNITED HEALTHCARE | HMO | $341.32 | ↑ +221% |
| OXFORD | ALL PRODUCTS | $341.32 | ↑ +221% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $371.60 | ↑ +249% |
| BERGEN RISK | ALL PRODUCTS | $378.54 | ↑ +256% |
| AETNA | PPO | $382.33 | ↑ +259% |
| AETNA | HMO | $382.33 | ↑ +259% |
| HORIZON | MANAGED MEDICAID | $399.86 | ↑ +276% |
| HORIZON | PIP | $410.72 | ↑ +286% |
| HORIZON | WORKERS COMP | $423.90 | ↑ +298% |
| HORIZON | OMNIA | $455.57 | ↑ +328% |
| AETNA | ASA | $493.99 | ↑ +364% |
| CIGNA | BH | $504.72 | ↑ +374% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $536.27 | ↑ +404% |
| HORIZON | SHP | $541.56 | ↑ +409% |
| HORIZON | INDEMNITY | $561.50 | ↑ +427% |
| HORIZON | HMO | $561.88 | ↑ +428% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $567.81 | ↑ +433% |
| QUALCARE | HMO | $572.86 | ↑ +438% |
| HORIZON | PPO | $576.77 | ↑ +442% |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
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Phenylep ketorolac opth soln at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $107.92 | $97.42 – $193.19 |
| Jersey Shore University Medical Center | Neptune City | $107.83 | $107.83 – $189.19 |
| Palisades Medical Center | North Bergen | $113.75 | $114.73 – $193.19 |
| Raritan Bay Medical Center | Perth Amboy | $107.92 | $107.92 – $193.19 |
| Riverview Medical Center | Red Bank | $107.83 | $107.83 – $189.19 |
| Trinitas Regional Medical Center | Elizabeth | not published | $101.68 – $210.60 |
| Cooperman Barnabas Medical Center | Livingston | not published | $101.68 – $217.30 |
| Community Medical Center | Toms River | not published | $101.68 – $210.60 |