Pyruvate at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$14.48
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.
$109.00
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.
$8.70 with AETNA vs $66.35 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $8.70 | ↓ -40% |
| WELLCARE | MEDICARE ADVANTAGE | $14.48 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $14.48 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $14.48 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.48 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $14.48 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $15.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $17.38 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $18.86 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23.83 | ↑ +65% |
| OXFORD | ALL PRODUCTS | $25.43 | ↑ +76% |
| UNITED HEALTHCARE | HMO | $29.72 | ↑ +105% |
| HORIZON | MANAGED MEDICAID | $29.79 | ↑ +106% |
| HORIZON | PIP | $30.60 | ↑ +111% |
| HORIZON | WORKERS COMP | $31.58 | ↑ +118% |
| HORIZON | OMNIA | $33.94 | ↑ +134% |
| BERGEN RISK | ALL PRODUCTS | $35.25 | ↑ +143% |
| AETNA | ASA | $36.80 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $37.60 | ↑ +160% |
| CIGNA | BH | $37.60 | ↑ +160% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $39.95 | ↑ +176% |
| AETNA | PPO | $40.04 | ↑ +177% |
| AETNA | HMO | $40.04 | ↑ +177% |
| HORIZON | SHP | $40.34 | ↑ +179% |
| AMERIHEALTH | LOCAL HMO | $40.81 | ↑ +182% |
| HORIZON | INDEMNITY | $41.83 | ↑ +189% |
| HORIZON | HMO | $41.86 | ↑ +189% |
| QUALCARE | WORKERS COMP | $42.68 | ↑ +195% |
| QUALCARE | PPO | $42.68 | ↑ +195% |
| QUALCARE | HMO | $42.68 | ↑ +195% |
| HORIZON | PPO | $42.97 | ↑ +197% |
| AMERIHEALTH | REGIONAL HMO | $46.23 | ↑ +219% |
| CIGNA | PPO | $66.35 | ↑ +358% |
| CIGNA | HMO | $66.35 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pyruvate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $15.93 | $6.81 – $58.76 |
| Cooperman Barnabas Medical Center | Livingston | $15.93 | $6.81 – $58.76 |
| Community Medical Center | Toms River | $15.93 | $6.81 – $58.76 |
| Clara Maass Medical Center | Belleville | $15.93 | $6.81 – $58.76 |
| Childrens Specialized Hospital | Mountainside | $67.00 | $11.58 – $11.93 |
| Newark Beth Israel Medical Center | Newark | $15.93 | $6.81 – $58.76 |
| Jersey City Medical Center | Jersey City | $15.93 | $6.81 – $58.76 |
| Monmouth Medical Center | Long Branch | $15.93 | $6.81 – $58.76 |