Yttrium y-90 ibritumomab ther at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$56,824.55
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.
$129,984.00
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.
$10,098.00 with CLOVER vs $68,189.46 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $10,098.00 | ↓ -82% |
| AMERIHEALTH | LOCAL HMO | $16,319.49 | ↓ -71% |
| CIGNA | HMO | $17,671.50 | ↓ -69% |
| CIGNA | PPO | $17,671.50 | ↓ -69% |
| AMERIHEALTH | REGIONAL HMO | $17,851.02 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $24,047.04 | ↓ -58% |
| WELLCARE | MEDICARE ADVANTAGE | $25,245.00 | ↓ -56% |
| WELLCARE | MANAGED MEDICAID | $25,245.00 | ↓ -56% |
| QUALCARE | WORKERS COMP | $26,254.80 | ↓ -54% |
| QUALCARE | PPO | $26,254.80 | ↓ -54% |
| QUALCARE | HMO | $26,254.80 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $26,646.72 | ↓ -53% |
| AMERIGROUP | MANAGED MEDICAID | $28,050.00 | ↓ -51% |
| UNITED HEALTHCARE | HMO | $30,350.10 | ↓ -47% |
| OXFORD | ALL PRODUCTS | $30,350.10 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $33,042.90 | ↓ -42% |
| BERGEN RISK | ALL PRODUCTS | $33,660.00 | ↓ -41% |
| AETNA | PPO | $33,996.60 | ↓ -40% |
| AETNA | HMO | $33,996.60 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $35,556.18 | ↓ -37% |
| HORIZON | PIP | $36,521.10 | ↓ -36% |
| HORIZON | WORKERS COMP | $37,693.59 | ↓ -34% |
| HORIZON | OMNIA | $40,509.81 | ↓ -29% |
| AETNA | ASA | $43,926.30 | ↓ -23% |
| CIGNA | BH | $44,880.00 | ↓ -21% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $47,685.00 | ↓ -16% |
| HORIZON | SHP | $48,156.24 | ↓ -15% |
| HORIZON | INDEMNITY | $49,929.00 | ↓ -12% |
| HORIZON | HMO | $49,962.66 | ↓ -12% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $50,490.00 | ↓ -11% |
| HORIZON | PPO | $51,286.62 | ↓ -10% |
| VACCN | ALL PRODUCTS | $56,824.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $56,824.55 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $59,326.88 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $59,665.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $61,938.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $68,189.46 | ↑ +20% |
Visitor-reported prices
Comments
Yttrium y-90 ibritumomab ther at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $13,066.20 | $50,573.85 – $123,583.80 |
| Bayshore Medical Center | Holmdel | $56,824.55 | $56,824.55 – $128,407.29 |
| Hackensack University Medical Center | Hackensack | $56,824.55 | $45,459.64 – $65,476.58 |
| Ocean University Medical Center | Brick | $56,824.55 | $56,824.55 – $68,189.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $56,824.55 | $56,824.55 – $60,579.46 |
| Jersey Shore University Medical Center | Neptune City | $56,824.55 | $56,824.55 – $132,443.38 |
| Palisades Medical Center | North Bergen | $14,774.74 | $56,824.55 – $128,407.29 |
| Raritan Bay Medical Center | Perth Amboy | $56,824.55 | $56,824.55 – $128,407.29 |