Plasma volume multiple at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,426.73
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.
$4,379.00
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.
$134.93 with KARNA vs $4,003.28 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $134.93 | ↓ -91% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $192.79 | ↓ -86% |
| AMERIHEALTH | LOCAL HMO | $218.80 | ↓ -85% |
| AMERIHEALTH | REGIONAL HMO | $222.58 | ↓ -84% |
| CIGNA | HMO | $236.32 | ↓ -83% |
| CIGNA | PPO | $236.32 | ↓ -83% |
| AETNA | HMO | $272.98 | ↓ -81% |
| AETNA | PPO | $272.98 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $788.22 | ↓ -45% |
| AETNA | MANAGED MEDICAID | $810.12 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $897.70 | ↓ -37% |
| VACCN | ALL PRODUCTS | $1,426.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,426.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,498.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,555.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,712.08 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,369.04 | ↑ +66% |
| HORIZON | PIP | $2,850.73 | ↑ +100% |
| HORIZON | WORKERS COMP | $2,942.25 | ↑ +106% |
| HORIZON | OMNIA | $3,162.08 | ↑ +122% |
| BERGEN RISK | ALL PRODUCTS | $3,284.25 | ↑ +130% |
| AETNA | ASA | $3,428.76 | ↑ +140% |
| CIGNA | BH | $3,503.20 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +148% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,722.15 | ↑ +161% |
| HORIZON | SHP | $3,758.93 | ↑ +163% |
| HORIZON | INDEMNITY | $3,897.31 | ↑ +173% |
| HORIZON | HMO | $3,899.94 | ↑ +173% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,941.10 | ↑ +176% |
| QUALCARE | WORKERS COMP | $3,976.13 | ↑ +179% |
| QUALCARE | HMO | $3,976.13 | ↑ +179% |
| QUALCARE | PPO | $3,976.13 | ↑ +179% |
| HORIZON | PPO | $4,003.28 | ↑ +181% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Plasma volume multiple at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,444.98 | $192.79 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $37.17 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $134.93 – $3,535.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $142.20 – $3,744.78 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $134.93 – $4,012.50 |
| Palisades Medical Center | North Bergen | $1,537.41 | $41.00 – $3,535.83 |
| Raritan Bay Medical Center | Perth Amboy | $1,446.24 | $56.25 – $3,535.83 |
| Riverview Medical Center | Red Bank | $1,444.98 | $35.00 – $3,535.83 |