Subq njx fil matrl 5.1-10cc at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$668.98
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.
$1,210.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $209.80 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $217.80 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $223.85 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $248.05 | ↓ -63% |
| VACCN | ALL PRODUCTS | $668.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $668.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $702.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $729.19 | ↑ +9% |
| HORIZON | PIP | $787.71 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $802.78 | ↑ +20% |
| HORIZON | WORKERS COMP | $813.00 | ↑ +22% |
| HORIZON | OMNIA | $873.74 | ↑ +31% |
| BERGEN RISK | ALL PRODUCTS | $907.50 | ↑ +36% |
| AETNA | ASA | $947.43 | ↑ +42% |
| CIGNA | BH | $968.00 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,028.50 | ↑ +54% |
| HORIZON | SHP | $1,038.66 | ↑ +55% |
| AMERIHEALTH | LOCAL HMO | $1,050.76 | ↑ +57% |
| HORIZON | INDEMNITY | $1,076.90 | ↑ +61% |
| HORIZON | HMO | $1,077.63 | ↑ +61% |
| QUALCARE | WORKERS COMP | $1,098.68 | ↑ +64% |
| QUALCARE | PPO | $1,098.68 | ↑ +64% |
| HORIZON | PPO | $1,106.18 | ↑ +65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +78% |
| AMERIHEALTH | REGIONAL HMO | $1,190.16 | ↑ +78% |
| QUALCARE | HMO | $1,525.00 | ↑ +128% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +324% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +401% |
| AETNA | HMO | $9,383.00 | ↑ +1303% |
| AETNA | PPO | $9,383.00 | ↑ +1303% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1385% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Subq njx fil matrl 5.1-10cc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $380.41 – $1,337.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $686.76 – $1,373.52 |
| Community Medical Center | Toms River | $3,786.00 | $668.98 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $686.76 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $686.76 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $720.88 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $677.54 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |