Platelets pheresis leukocytes reduced irradiated each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$738.42
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.
$4,290.00
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 | ↓ -51% |
| VACCN | ALL PRODUCTS | $738.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $738.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $738.42 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $738.42 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $772.20 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $775.34 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $793.65 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $804.87 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $879.45 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $886.10 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,526.81 | ↑ +242% |
| HORIZON | PIP | $2,792.79 | ↑ +278% |
| HORIZON | WORKERS COMP | $2,882.45 | ↑ +290% |
| HORIZON | OMNIA | $3,097.81 | ↑ +320% |
| BERGEN RISK | ALL PRODUCTS | $3,217.50 | ↑ +336% |
| AETNA | ASA | $3,359.07 | ↑ +355% |
| CIGNA | BH | $3,432.00 | ↑ +365% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,646.50 | ↑ +394% |
| HORIZON | SHP | $3,682.54 | ↑ +399% |
| AMERIHEALTH | LOCAL HMO | $3,725.44 | ↑ +405% |
| HORIZON | INDEMNITY | $3,818.10 | ↑ +417% |
| HORIZON | HMO | $3,820.67 | ↑ +417% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,861.00 | ↑ +423% |
| AETNA | HMO | $3,861.86 | ↑ +423% |
| AETNA | PPO | $3,861.86 | ↑ +423% |
| QUALCARE | PPO | $3,895.32 | ↑ +428% |
| QUALCARE | WORKERS COMP | $3,895.32 | ↑ +428% |
| QUALCARE | HMO | $3,895.32 | ↑ +428% |
| HORIZON | PPO | $3,921.92 | ↑ +431% |
| CIGNA | PPO | $4,102.53 | ↑ +456% |
| CIGNA | HMO | $4,102.53 | ↑ +456% |
| AMERIHEALTH | REGIONAL HMO | $4,219.64 | ↑ +471% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +549% |
| 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 irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $321.90 | $8.16 – $1,476.84 |
| Cooperman Barnabas Medical Center | Livingston | $363.40 | $758.04 – $1,516.08 |
| Community Medical Center | Toms River | $355.69 | $738.42 – $1,469.46 |
| Clara Maass Medical Center | Belleville | $341.11 | $758.04 – $1,508.50 |
| Newark Beth Israel Medical Center | Newark | $357.23 | $758.04 – $1,516.08 |
| Jersey City Medical Center | Jersey City | $356.37 | $10.56 – $1,583.44 |
| Monmouth Medical Center | Long Branch | $375.24 | $747.86 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $748.51 | $311.00 – $748.51 |