Thromboplastin inhibition at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$9.63
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.
$205.00
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.
$9.63 with WELLCARE vs $201.64 with AMERIHEALTH — 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 | MEDICARE ADVANTAGE | $9.63 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.63 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.63 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.63 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $9.63 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9.63 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11.56 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $12.54 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $19.77 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $21.13 | ↑ +119% |
| AETNA | MANAGED MEDICAID | $37.93 | ↑ +294% |
| CIGNA | HMO | $44.13 | ↑ +358% |
| CIGNA | PPO | $44.13 | ↑ +358% |
| OXFORD | ALL PRODUCTS | $110.91 | ↑ +1052% |
| HORIZON | MANAGED MEDICAID | $129.93 | ↑ +1249% |
| HORIZON | PIP | $133.46 | ↑ +1286% |
| HORIZON | WORKERS COMP | $137.74 | ↑ +1330% |
| HORIZON | OMNIA | $148.03 | ↑ +1437% |
| BERGEN RISK | ALL PRODUCTS | $153.75 | ↑ +1497% |
| AETNA | ASA | $160.52 | ↑ +1567% |
| CIGNA | BH | $164.00 | ↑ +1603% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $164.00 | ↑ +1603% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $174.25 | ↑ +1709% |
| AETNA | PPO | $174.66 | ↑ +1714% |
| AETNA | HMO | $174.66 | ↑ +1714% |
| HORIZON | SHP | $175.97 | ↑ +1727% |
| AMERIHEALTH | LOCAL HMO | $178.02 | ↑ +1749% |
| HORIZON | INDEMNITY | $182.45 | ↑ +1795% |
| HORIZON | HMO | $182.57 | ↑ +1796% |
| QUALCARE | WORKERS COMP | $186.14 | ↑ +1833% |
| QUALCARE | HMO | $186.14 | ↑ +1833% |
| QUALCARE | PPO | $186.14 | ↑ +1833% |
| HORIZON | PPO | $187.41 | ↑ +1846% |
| AMERIHEALTH | REGIONAL HMO | $201.64 | ↑ +1994% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Thromboplastin inhibition at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $10.59 | $4.53 – $38.72 |
| Cooperman Barnabas Medical Center | Livingston | $10.59 | $4.53 – $38.72 |
| Community Medical Center | Toms River | $10.59 | $4.53 – $38.72 |
| Clara Maass Medical Center | Belleville | $10.59 | $4.53 – $38.72 |
| Newark Beth Israel Medical Center | Newark | $10.59 | $4.53 – $38.72 |
| Jersey City Medical Center | Jersey City | $10.59 | $4.53 – $38.72 |
| Monmouth Medical Center | Long Branch | $10.59 | $4.53 – $38.72 |
| Bayshore Medical Center | Holmdel | $9.63 | $9.63 – $44.13 |