Photopheresis at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,120.33
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.
$19,284.00
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.
$193.61 with KARNA vs $18,967.74 with AMERIHEALTH — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $193.61 | ↓ -96% |
| CLOVER | MEDICARE ADVANTAGE | $3,471.12 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $3,567.54 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,953.22 | ↓ -23% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,120.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,120.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,120.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,120.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,376.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $5,581.16 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6,144.39 | ↑ +20% |
| HORIZON | OMNIA | $6,368.00 | ↑ +24% |
| HORIZON | SHP | $7,264.00 | ↑ +42% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +54% |
| HORIZON | HMO | $7,869.00 | ↑ +54% |
| HORIZON | PPO | $8,077.00 | ↑ +58% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +98% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11,358.28 | ↑ +122% |
| HORIZON | MANAGED MEDICAID | $12,222.20 | ↑ +139% |
| HORIZON | PIP | $12,553.88 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $13,709.00 | ↑ +168% |
| BERGEN RISK | ALL PRODUCTS | $14,463.00 | ↑ +182% |
| UNITED HEALTHCARE | HMO | $14,979.81 | ↑ +193% |
| AETNA | ASA | $15,099.37 | ↑ +195% |
| CIGNA | BH | $15,427.20 | ↑ +201% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,391.40 | ↑ +220% |
| AMERIHEALTH | LOCAL HMO | $16,746.23 | ↑ +227% |
| CIGNA | HMO | $17,334.39 | ↑ +239% |
| CIGNA | PPO | $17,334.39 | ↑ +239% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,355.60 | ↑ +239% |
| AETNA | HMO | $17,359.46 | ↑ +239% |
| AETNA | PPO | $17,359.46 | ↑ +239% |
| QUALCARE | WORKERS COMP | $17,509.87 | ↑ +242% |
| QUALCARE | PPO | $17,509.87 | ↑ +242% |
| QUALCARE | HMO | $17,509.87 | ↑ +242% |
| AMERIHEALTH | REGIONAL HMO | $18,967.74 | ↑ +270% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Photopheresis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $698.42 – $10,240.66 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $206.34 – $10,512.78 |
| Community Medical Center | Toms River | $3,786.00 | $211.31 – $10,189.46 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $203.85 – $10,460.22 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $374.14 – $10,512.78 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $223.74 – $10,979.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $407.70 – $10,319.80 |
| Bayshore Medical Center | Holmdel | $5,185.83 | $5,185.83 – $6,222.99 |