Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$530.45
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.
$1,458.00
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.
$262.44 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $262.44 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $269.73 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $298.89 | ↓ -44% |
| OXFORD | ALL PRODUCTS | $359.00 | ↓ -32% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $530.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $530.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $530.45 | ↑ +0% |
| VACCN | ALL PRODUCTS | $530.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $556.97 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $578.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $636.54 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $858.76 | ↑ +62% |
| HORIZON | PIP | $949.16 | ↑ +79% |
| HORIZON | WORKERS COMP | $979.63 | ↑ +85% |
| HORIZON | OMNIA | $1,052.82 | ↑ +98% |
| BERGEN RISK | ALL PRODUCTS | $1,093.50 | ↑ +106% |
| AETNA | ASA | $1,141.61 | ↑ +115% |
| CIGNA | BH | $1,166.40 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,239.30 | ↑ +134% |
| HORIZON | SHP | $1,251.55 | ↑ +136% |
| AMERIHEALTH | LOCAL HMO | $1,266.13 | ↑ +139% |
| HORIZON | INDEMNITY | $1,297.62 | ↑ +145% |
| HORIZON | HMO | $1,298.49 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,312.20 | ↑ +147% |
| AETNA | HMO | $1,312.49 | ↑ +147% |
| AETNA | PPO | $1,312.49 | ↑ +147% |
| QUALCARE | PPO | $1,323.86 | ↑ +150% |
| QUALCARE | WORKERS COMP | $1,323.86 | ↑ +150% |
| QUALCARE | HMO | $1,323.86 | ↑ +150% |
| HORIZON | PPO | $1,332.90 | ↑ +151% |
| CIGNA | PPO | $1,394.29 | ↑ +163% |
| CIGNA | HMO | $1,394.29 | ↑ +163% |
| AMERIHEALTH | REGIONAL HMO | $1,434.09 | ↑ +170% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +804% |
| 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
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $275.91 | $530.45 – $1,060.90 |
| Jersey City Medical Center | Jersey City | $320.21 | $571.60 – $1,137.48 |
| Monmouth Medical Center | Long Branch | $337.17 | $537.24 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $537.70 | $311.00 – $537.70 |
| Jersey Shore University Medical Center | Neptune City | $537.24 | $380.00 – $644.68 |
| Palisades Medical Center | North Bergen | $571.60 | $571.60 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $537.70 | $353.00 – $645.24 |
| Riverview Medical Center | Red Bank | $537.24 | $361.00 – $644.68 |