Platelets pheresis leukocytes reduced each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$532.34
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.
$2,910.00
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.
$359.00 with OXFORD vs $4,793.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| OXFORD | ALL PRODUCTS | $359.00 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $523.80 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $532.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $532.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $532.34 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $532.34 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $538.35 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $558.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $580.25 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $596.55 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $638.81 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,713.99 | ↑ +222% |
| HORIZON | PIP | $1,894.41 | ↑ +256% |
| HORIZON | WORKERS COMP | $1,955.23 | ↑ +267% |
| HORIZON | OMNIA | $2,101.31 | ↑ +295% |
| BERGEN RISK | ALL PRODUCTS | $2,182.50 | ↑ +310% |
| AETNA | ASA | $2,278.53 | ↑ +328% |
| CIGNA | BH | $2,328.00 | ↑ +337% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,473.50 | ↑ +365% |
| HORIZON | SHP | $2,497.94 | ↑ +369% |
| AMERIHEALTH | LOCAL HMO | $2,527.04 | ↑ +375% |
| HORIZON | INDEMNITY | $2,589.90 | ↑ +387% |
| HORIZON | HMO | $2,591.65 | ↑ +387% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,619.00 | ↑ +392% |
| AETNA | HMO | $2,619.58 | ↑ +392% |
| AETNA | PPO | $2,619.58 | ↑ +392% |
| QUALCARE | PPO | $2,642.28 | ↑ +396% |
| QUALCARE | WORKERS COMP | $2,642.28 | ↑ +396% |
| QUALCARE | HMO | $2,642.28 | ↑ +396% |
| HORIZON | PPO | $2,660.32 | ↑ +400% |
| CIGNA | PPO | $2,782.83 | ↑ +423% |
| CIGNA | HMO | $2,782.83 | ↑ +423% |
| AMERIHEALTH | REGIONAL HMO | $2,862.28 | ↑ +438% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +800% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Platelets pheresis leukocytes reduced each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $368.64 | $16.32 – $1,064.68 |
| Cooperman Barnabas Medical Center | Livingston | $416.17 | $546.49 – $1,092.98 |
| Community Medical Center | Toms River | $407.33 | $532.34 – $1,059.36 |
| Clara Maass Medical Center | Belleville | $390.63 | $546.49 – $1,087.52 |
| Newark Beth Israel Medical Center | Newark | $409.10 | $546.49 – $1,092.98 |
| Jersey City Medical Center | Jersey City | $408.11 | $21.12 – $1,141.54 |
| Monmouth Medical Center | Long Branch | $429.72 | $539.15 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $539.62 | $311.00 – $539.62 |