Red blood cells leukocytes reduced cmv negative irradiated each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$243.56
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.
$2,001.00
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.
$243.56 with WELLCARE 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $243.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $243.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $243.56 | ↑ +0% |
| VACCN | ALL PRODUCTS | $243.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $255.74 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $265.48 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $292.27 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $359.00 | ↑ +47% |
| CLOVER | MEDICARE ADVANTAGE | $360.18 | ↑ +48% |
| AETNA | MANAGED MEDICAID | $370.19 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $410.21 | ↑ +68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,178.59 | ↑ +384% |
| HORIZON | PIP | $1,302.65 | ↑ +435% |
| HORIZON | WORKERS COMP | $1,344.47 | ↑ +452% |
| HORIZON | OMNIA | $1,444.92 | ↑ +493% |
| BERGEN RISK | ALL PRODUCTS | $1,500.75 | ↑ +516% |
| AETNA | ASA | $1,566.78 | ↑ +543% |
| CIGNA | BH | $1,600.80 | ↑ +557% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,700.85 | ↑ +598% |
| HORIZON | SHP | $1,717.66 | ↑ +605% |
| AMERIHEALTH | LOCAL HMO | $1,737.67 | ↑ +613% |
| HORIZON | INDEMNITY | $1,780.89 | ↑ +631% |
| HORIZON | HMO | $1,782.09 | ↑ +632% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,800.90 | ↑ +639% |
| AETNA | HMO | $1,801.30 | ↑ +640% |
| AETNA | PPO | $1,801.30 | ↑ +640% |
| QUALCARE | PPO | $1,816.91 | ↑ +646% |
| QUALCARE | WORKERS COMP | $1,816.91 | ↑ +646% |
| QUALCARE | HMO | $1,816.91 | ↑ +646% |
| HORIZON | PPO | $1,829.31 | ↑ +651% |
| CIGNA | PPO | $1,913.56 | ↑ +686% |
| CIGNA | HMO | $1,913.56 | ↑ +686% |
| AMERIHEALTH | REGIONAL HMO | $1,968.18 | ↑ +708% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +1868% |
| 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 leukocytes reduced cmv negative irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $246.89 | $222.86 – $382.00 |
| Jersey Shore University Medical Center | Neptune City | $246.67 | $246.67 – $380.00 |
| Palisades Medical Center | North Bergen | $262.45 | $262.45 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $246.89 | $246.89 – $353.00 |
| Riverview Medical Center | Red Bank | $246.67 | $246.67 – $361.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $248.28 | $258.59 – $543.04 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $196.71 | $243.56 – $484.68 |
| Trinitas Regional Medical Center | Elizabeth | not published | $243.56 – $487.12 |