Red cell mass multiple at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$588.26
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.
$1,664.00
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.
$142.01 with KARNA vs $1,521.23 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $142.01 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $217.22 | ↓ -63% |
| CIGNA | HMO | $236.32 | ↓ -60% |
| CIGNA | PPO | $236.32 | ↓ -60% |
| AMERIHEALTH | LOCAL HMO | $254.60 | ↓ -57% |
| AMERIHEALTH | REGIONAL HMO | $259.01 | ↓ -56% |
| AETNA | HMO | $286.28 | ↓ -51% |
| AETNA | PPO | $286.28 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $299.52 | ↓ -49% |
| AETNA | MANAGED MEDICAID | $307.84 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $341.12 | ↓ -42% |
| VACCN | ALL PRODUCTS | $588.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $588.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $617.68 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $641.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $705.92 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $900.22 | ↑ +53% |
| HORIZON | PIP | $1,083.26 | ↑ +84% |
| HORIZON | WORKERS COMP | $1,118.04 | ↑ +90% |
| HORIZON | OMNIA | $1,201.57 | ↑ +104% |
| BERGEN RISK | ALL PRODUCTS | $1,248.00 | ↑ +112% |
| AETNA | ASA | $1,302.91 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +125% |
| CIGNA | BH | $1,331.20 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,414.40 | ↑ +140% |
| HORIZON | SHP | $1,428.38 | ↑ +143% |
| HORIZON | INDEMNITY | $1,480.96 | ↑ +152% |
| HORIZON | HMO | $1,481.96 | ↑ +152% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,497.60 | ↑ +155% |
| QUALCARE | WORKERS COMP | $1,510.91 | ↑ +157% |
| QUALCARE | HMO | $1,510.91 | ↑ +157% |
| QUALCARE | PPO | $1,510.91 | ↑ +157% |
| HORIZON | PPO | $1,521.23 | ↑ +159% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Red cell mass multiple at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $217.22 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $65.41 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $142.01 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $149.48 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $142.01 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $72.16 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $99.00 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $61.60 – $1,325.05 |