Rbc irradiated each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$163.08
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.
$1,863.00
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.
$163.08 with VACCN 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $163.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $163.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $163.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $163.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $171.23 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $177.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $195.70 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $335.34 | ↑ +106% |
| AETNA | MANAGED MEDICAID | $344.66 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $359.00 | ↑ +120% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $381.92 | ↑ +134% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,097.31 | ↑ +573% |
| HORIZON | PIP | $1,212.81 | ↑ +644% |
| HORIZON | WORKERS COMP | $1,251.75 | ↑ +668% |
| HORIZON | OMNIA | $1,345.27 | ↑ +725% |
| BERGEN RISK | ALL PRODUCTS | $1,397.25 | ↑ +757% |
| AETNA | ASA | $1,458.73 | ↑ +794% |
| CIGNA | BH | $1,490.40 | ↑ +814% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,583.55 | ↑ +871% |
| HORIZON | SHP | $1,599.20 | ↑ +881% |
| AMERIHEALTH | LOCAL HMO | $1,617.83 | ↑ +892% |
| HORIZON | INDEMNITY | $1,658.07 | ↑ +917% |
| HORIZON | HMO | $1,659.19 | ↑ +917% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,676.70 | ↑ +928% |
| AETNA | HMO | $1,677.07 | ↑ +928% |
| AETNA | PPO | $1,677.07 | ↑ +928% |
| QUALCARE | PPO | $1,691.60 | ↑ +937% |
| QUALCARE | WORKERS COMP | $1,691.60 | ↑ +937% |
| QUALCARE | HMO | $1,691.60 | ↑ +937% |
| HORIZON | PPO | $1,703.15 | ↑ +944% |
| CIGNA | PPO | $1,781.59 | ↑ +992% |
| CIGNA | HMO | $1,781.59 | ↑ +992% |
| AMERIHEALTH | REGIONAL HMO | $1,832.45 | ↑ +1024% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +2839% |
| 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
Rbc irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $127.82 | $8.16 – $326.16 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $165.31 | $149.22 – $382.00 |
| Jersey Shore University Medical Center | Neptune City | $165.17 | $165.17 – $380.00 |
| Palisades Medical Center | North Bergen | $175.73 | $175.73 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $165.31 | $165.31 – $353.00 |
| Riverview Medical Center | Red Bank | $165.17 | $165.17 – $361.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $203.48 | $11.16 – $363.59 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $123.06 | $163.08 – $324.53 |