Tissue culture skin/biopsy at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$140.73
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.
$648.00
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.
$51.06 with AETNA vs $644.87 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $51.06 | ↓ -64% |
| AMERIGROUP | MANAGED MEDICAID | $140.73 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $140.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $140.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $140.73 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $140.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.77 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $149.32 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $153.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $168.88 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $174.93 | ↑ +24% |
| HORIZON | PIP | $179.68 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $183.30 | ↑ +30% |
| HORIZON | WORKERS COMP | $185.44 | ↑ +32% |
| HORIZON | OMNIA | $199.30 | ↑ +42% |
| BERGEN RISK | ALL PRODUCTS | $207.00 | ↑ +47% |
| AETNA | ASA | $216.11 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $220.80 | ↑ +57% |
| CIGNA | BH | $220.80 | ↑ +57% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $234.60 | ↑ +67% |
| AETNA | PPO | $235.15 | ↑ +67% |
| AETNA | HMO | $235.15 | ↑ +67% |
| HORIZON | SHP | $236.92 | ↑ +68% |
| AMERIHEALTH | LOCAL HMO | $239.68 | ↑ +70% |
| HORIZON | INDEMNITY | $245.64 | ↑ +75% |
| HORIZON | HMO | $245.81 | ↑ +75% |
| QUALCARE | HMO | $250.61 | ↑ +78% |
| QUALCARE | PPO | $250.61 | ↑ +78% |
| QUALCARE | WORKERS COMP | $250.61 | ↑ +78% |
| HORIZON | PPO | $252.32 | ↑ +79% |
| AMERIHEALTH | REGIONAL HMO | $271.47 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $288.85 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $308.91 | ↑ +120% |
| CIGNA | HMO | $644.87 | ↑ +358% |
| CIGNA | PPO | $644.87 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $154.80 | $66.14 – $670.44 |
| Cooperman Barnabas Medical Center | Livingston | $154.80 | $66.14 – $574.15 |
| Community Medical Center | Toms River | $154.80 | $66.14 – $574.15 |
| Clara Maass Medical Center | Belleville | $154.80 | $66.14 – $574.15 |
| Newark Beth Israel Medical Center | Newark | $154.80 | $66.14 – $574.15 |
| Jersey City Medical Center | Jersey City | $154.80 | $66.14 – $574.15 |
| Monmouth Medical Center | Long Branch | $154.80 | $66.14 – $574.15 |
| Bayshore Medical Center | Holmdel | $140.73 | $140.73 – $644.87 |