Platelets pheresis pathogen-reduced each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$641.83
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.
$3,630.00
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 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $363.00 | ↓ -43% |
| WELLCARE | MEDICARE ADVANTAGE | $641.83 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $641.83 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $641.83 | ↑ +0% |
| VACCN | ALL PRODUCTS | $641.83 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $653.40 | ↑ +2% |
| AETNA | MANAGED MEDICAID | $671.55 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $673.92 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $699.59 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $744.15 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $770.19 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,138.07 | ↑ +233% |
| HORIZON | PIP | $2,363.13 | ↑ +268% |
| HORIZON | WORKERS COMP | $2,439.00 | ↑ +280% |
| HORIZON | OMNIA | $2,621.22 | ↑ +308% |
| BERGEN RISK | ALL PRODUCTS | $2,722.50 | ↑ +324% |
| AETNA | ASA | $2,842.29 | ↑ +343% |
| CIGNA | BH | $2,904.00 | ↑ +352% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,085.50 | ↑ +381% |
| HORIZON | SHP | $3,115.99 | ↑ +385% |
| AMERIHEALTH | LOCAL HMO | $3,152.29 | ↑ +391% |
| HORIZON | INDEMNITY | $3,230.70 | ↑ +403% |
| HORIZON | HMO | $3,232.88 | ↑ +404% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,267.00 | ↑ +409% |
| AETNA | PPO | $3,267.73 | ↑ +409% |
| AETNA | HMO | $3,267.73 | ↑ +409% |
| QUALCARE | HMO | $3,296.04 | ↑ +414% |
| QUALCARE | PPO | $3,296.04 | ↑ +414% |
| QUALCARE | WORKERS COMP | $3,296.04 | ↑ +414% |
| HORIZON | PPO | $3,318.55 | ↑ +417% |
| CIGNA | PPO | $3,471.37 | ↑ +441% |
| CIGNA | HMO | $3,471.37 | ↑ +441% |
| AMERIHEALTH | REGIONAL HMO | $3,570.47 | ↑ +456% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +647% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Platelets pheresis pathogen-reduced each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $368.64 | $641.83 – $1,283.66 |
| Cooperman Barnabas Medical Center | Livingston | $416.17 | $658.88 – $1,317.76 |
| Community Medical Center | Toms River | $407.33 | $641.83 – $1,277.24 |
| Clara Maass Medical Center | Belleville | $390.63 | $658.88 – $1,311.17 |
| Newark Beth Israel Medical Center | Newark | $409.10 | $658.88 – $1,317.76 |
| Jersey City Medical Center | Jersey City | $408.11 | $691.62 – $1,376.32 |
| Monmouth Medical Center | Long Branch | $429.72 | $650.04 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $650.60 | $311.00 – $650.60 |