Red blood cells leukocytes reduced irradiated each unit at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$279.56
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.
$1,320.00
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.
$237.60 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 | $237.60 | ↓ -15% |
| AETNA | MANAGED MEDICAID | $244.20 | ↓ -13% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $270.60 | ↓ -3% |
| VACCN | ALL PRODUCTS | $279.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $279.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $279.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $279.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $293.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $304.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $335.47 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $359.00 | ↑ +28% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $777.48 | ↑ +178% |
| HORIZON | PIP | $859.32 | ↑ +207% |
| HORIZON | WORKERS COMP | $886.91 | ↑ +217% |
| HORIZON | OMNIA | $953.17 | ↑ +241% |
| BERGEN RISK | ALL PRODUCTS | $990.00 | ↑ +254% |
| AETNA | ASA | $1,033.56 | ↑ +270% |
| CIGNA | BH | $1,056.00 | ↑ +278% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,122.00 | ↑ +301% |
| HORIZON | SHP | $1,133.09 | ↑ +305% |
| AMERIHEALTH | LOCAL HMO | $1,146.29 | ↑ +310% |
| HORIZON | INDEMNITY | $1,174.80 | ↑ +320% |
| HORIZON | HMO | $1,175.59 | ↑ +321% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,188.00 | ↑ +325% |
| AETNA | HMO | $1,188.26 | ↑ +325% |
| AETNA | PPO | $1,188.26 | ↑ +325% |
| QUALCARE | PPO | $1,198.56 | ↑ +329% |
| QUALCARE | WORKERS COMP | $1,198.56 | ↑ +329% |
| QUALCARE | HMO | $1,198.56 | ↑ +329% |
| HORIZON | PPO | $1,206.74 | ↑ +332% |
| CIGNA | PPO | $1,262.32 | ↑ +352% |
| CIGNA | HMO | $1,262.32 | ↑ +352% |
| AMERIHEALTH | REGIONAL HMO | $1,298.35 | ↑ +364% |
| UNITED HEALTHCARE | HMO | $4,793.00 | ↑ +1614% |
| 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 irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $128.01 | $8.16 – $559.12 |
| Cooperman Barnabas Medical Center | Livingston | $144.51 | $286.99 – $573.98 |
| Community Medical Center | Toms River | $141.44 | $279.56 – $556.32 |
| Clara Maass Medical Center | Belleville | $135.64 | $286.99 – $571.11 |
| Newark Beth Israel Medical Center | Newark | $142.06 | $286.99 – $573.98 |
| Jersey City Medical Center | Jersey City | $141.71 | $10.56 – $599.49 |
| Monmouth Medical Center | Long Branch | $149.22 | $283.13 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $283.38 | $255.80 – $382.00 |