Virus isolation addl studies ea at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$20.20
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.
$112.00
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.
$19.98 with AETNA vs $106.23 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $19.98 | ↓ -1% |
| AMERIGROUP | MANAGED MEDICAID | $20.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $20.20 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $20.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $21.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $22.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $24.24 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $26.31 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $41.46 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $44.33 | ↑ +119% |
| OXFORD | ALL PRODUCTS | $58.43 | ↑ +189% |
| HORIZON | MANAGED MEDICAID | $68.45 | ↑ +239% |
| HORIZON | PIP | $70.31 | ↑ +248% |
| HORIZON | WORKERS COMP | $72.57 | ↑ +259% |
| HORIZON | OMNIA | $77.99 | ↑ +286% |
| BERGEN RISK | ALL PRODUCTS | $81.00 | ↑ +301% |
| AETNA | ASA | $84.56 | ↑ +319% |
| CIGNA | BH | $86.40 | ↑ +328% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $86.40 | ↑ +328% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $91.80 | ↑ +354% |
| AETNA | PPO | $92.02 | ↑ +356% |
| AETNA | HMO | $92.02 | ↑ +356% |
| CIGNA | PPO | $92.56 | ↑ +358% |
| CIGNA | HMO | $92.56 | ↑ +358% |
| HORIZON | SHP | $92.71 | ↑ +359% |
| AMERIHEALTH | LOCAL HMO | $93.79 | ↑ +364% |
| HORIZON | INDEMNITY | $96.12 | ↑ +376% |
| HORIZON | HMO | $96.18 | ↑ +376% |
| QUALCARE | WORKERS COMP | $98.06 | ↑ +385% |
| QUALCARE | HMO | $98.06 | ↑ +385% |
| QUALCARE | PPO | $98.06 | ↑ +385% |
| HORIZON | PPO | $98.73 | ↑ +389% |
| AMERIHEALTH | REGIONAL HMO | $106.23 | ↑ +426% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Virus isolation addl studies ea at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $22.22 | $6.12 – $84.60 |
| Cooperman Barnabas Medical Center | Livingston | $22.22 | $9.49 – $82.79 |
| Community Medical Center | Toms River | $22.22 | $9.49 – $82.79 |
| Clara Maass Medical Center | Belleville | $22.22 | $9.49 – $82.79 |
| Newark Beth Israel Medical Center | Newark | $22.22 | $9.49 – $82.79 |
| Jersey City Medical Center | Jersey City | $22.22 | $7.92 – $82.79 |
| Monmouth Medical Center | Long Branch | $22.22 | $9.49 – $82.79 |
| Bayshore Medical Center | Holmdel | $20.20 | $20.20 – $92.56 |