Procalcitonin at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$27.22
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.
$342.00
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.
$27.22 with CLOVER vs $336.39 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $27.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.22 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $27.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.22 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $27.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.66 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $35.45 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $43.61 | ↑ +60% |
| UNITED HEALTHCARE | HMO | $55.87 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $63.27 | ↑ +132% |
| CIGNA | PPO | $124.73 | ↑ +358% |
| CIGNA | HMO | $124.73 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $185.02 | ↑ +580% |
| HORIZON | MANAGED MEDICAID | $216.76 | ↑ +696% |
| HORIZON | PIP | $222.64 | ↑ +718% |
| HORIZON | WORKERS COMP | $229.79 | ↑ +744% |
| HORIZON | OMNIA | $246.96 | ↑ +807% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +842% |
| AETNA | ASA | $267.79 | ↑ +884% |
| CIGNA | BH | $273.60 | ↑ +905% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $273.60 | ↑ +905% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +968% |
| AETNA | HMO | $291.38 | ↑ +970% |
| AETNA | PPO | $291.38 | ↑ +970% |
| HORIZON | SHP | $293.57 | ↑ +979% |
| AMERIHEALTH | LOCAL HMO | $296.99 | ↑ +991% |
| HORIZON | INDEMNITY | $304.38 | ↑ +1018% |
| HORIZON | HMO | $304.59 | ↑ +1019% |
| QUALCARE | HMO | $310.54 | ↑ +1041% |
| QUALCARE | WORKERS COMP | $310.54 | ↑ +1041% |
| QUALCARE | PPO | $310.54 | ↑ +1041% |
| HORIZON | PPO | $312.66 | ↑ +1049% |
| AMERIHEALTH | REGIONAL HMO | $336.39 | ↑ +1136% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Procalcitonin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $29.94 | $12.79 – $110.82 |
| Cooperman Barnabas Medical Center | Livingston | $29.94 | $12.79 – $110.82 |
| Community Medical Center | Toms River | $29.94 | $12.79 – $110.82 |
| Clara Maass Medical Center | Belleville | $29.94 | $12.79 – $110.82 |
| Childrens Specialized Hospital | Mountainside | $94.00 | $21.78 – $22.43 |
| Newark Beth Israel Medical Center | Newark | $29.94 | $12.79 – $110.82 |
| Jersey City Medical Center | Jersey City | $29.94 | $12.79 – $110.82 |
| Monmouth Medical Center | Long Branch | $29.94 | $12.79 – $110.82 |