Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $390.30 | $5,984.00 | $390.30 – $4,332.00 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $390.30 | $4,835.00 | $390.30 – $4,332.00 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $264.17 | $4,329.00 | $264.17 – $4,332.00 | 10 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,024.64 | $4,476.00 | $249.63 – $1,229.57 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,024.64 | $4,106.00 | $281.82 – $1,229.57 | 7 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | $1,093.06 | $434.18 – $697.97 | 2 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $371.10 – $371.10 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,024.64 | $2,606.00 | $281.82 – $1,229.57 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $6,376.26 | $10,247.00 | $1,312.64 – $7,651.51 | 7 |
| Urea nitrogen CPT 84520 | $3.95 | $85.00 | $3.95 – $18.10 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $5.56 | $73.00 | $5.56 – $25.48 | 10 |
| Urea nitrogen clearance CPT 84545 | $7.20 | not published | $7.20 – $32.99 | 11 |
| Urea nitrogen semi-quant CPT 84525 | $5.13 | not published | $5.13 – $23.51 | 11 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $350.91 – $350.91 | 1 |
| Ureteral reflux study CPT 78740 | $439.15 | $1,352.00 | $159.30 – $704.33 | 9 |
| Ureter endoscopy CPT 50970 | $3,769.31 | not published | $746.57 – $4,523.17 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | $5,555.79 | $8,250.00 | $710.50 – $6,666.94 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | $5,555.79 | $13,638.00 | $952.23 – $6,666.94 | 7 |
| Ureter endoscopy & catheter CPT 50972 | $3,769.31 | $5,674.00 | $720.59 – $4,523.17 | 7 |
| Ureter endoscopy & treatment CPT 50957 | $5,555.79 | $8,250.00 | $713.90 – $6,666.94 | 7 |
| Ureter endoscopy & treatment CPT 50961 | $5,555.79 | $8,250.00 | $640.12 – $6,666.94 | 7 |
| Ureter endoscopy & treatment CPT 50976 | $5,555.79 | $8,250.00 | $939.24 – $6,666.94 | 7 |
| Ureter endoscopy & treatment CPT 50980 | $5,555.79 | $8,250.00 | $717.19 – $6,666.94 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | $4,569.00 | $2,276.95 – $2,276.95 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | $3,498.00 | $2,314.34 – $2,314.34 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $264.17 | $1,133.00 | $109.55 – $287.95 | 7 |
| Urethrlys transvag with scope CPT 53500 | $3,769.31 | $9,728.00 | $1,540.77 – $4,523.17 | 7 |
| Urethrocystography void s&i CPT 74455 | $264.17 | $1,133.00 | $119.33 – $325.80 | 8 |
| Uric acid blood CPT 84550 | $4.52 | $220.00 | $4.52 – $20.71 | 11 |
| Uric acid urine CPT 84560 | $5.08 | $95.00 | $5.08 – $23.28 | 10 |
| Urinalysis glass test CPT 81020 | $4.70 | not published | $4.70 – $21.54 | 11 |
| Urinalysis microscopic only CPT 81015 | $3.05 | not published | $3.05 – $13.98 | 11 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.17 | not published | $2.17 – $9.94 | 11 |
| Urinalysis (with microscopy) CPT 81001 | $3.17 | $107.00 | $3.17 – $14.53 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $2.25 | $80.00 | $2.25 – $10.31 | 11 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $109.55 – $251.73 | 5 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.52 – $5.65 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.64 – $10.68 | 2 |
| Urinary reflex study CPT 51792 | $64.92 | not published | $64.92 – $581.28 | 7 |
| Urinary suspensory HCPCS A5105 | not published | not published | $45.07 – $72.46 | 2 |
| Urine Culture Test CPT 87086 | $8.07 | $154.00 | $8.07 – $36.98 | 10 |
| Urine flow measurement 51736 CPT 51736 | $140.87 | not published | $28.49 – $169.05 | 7 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.20 – $11.59 | 2 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $3.00 – $39.45 | 11 |
| Urine screen for bacteria CPT 81007 | $29.98 | not published | $5.64 – $137.38 | 11 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,500.46 – $2,500.46 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $4.71 – $13.75 | 6 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $133.89 – $133.89 | 1 |
| Urography, antegrade CPT 74425 | $390.30 | $1,367.00 | $98.19 – $414.73 | 8 |
| Urography inf drip &/or bolus CPT 74410 | $194.55 | $1,334.00 | $146.50 – $423.38 | 9 |
| Use 1st target lesion CPT 76982 | $116.22 | not published | $92.62 – $295.04 | 10 |
| User adjustable heel height HCPCS L5990 | not published | $2,903.00 | $1,691.39 – $3,318.16 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $13.29 | not published | $11.30 – $24.95 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $157.68 | not published | $157.68 – $366.84 | 9 |
| U/s trtmt, not leiomyomata HCPCS C9734 | $14,061.89 | not published | $14,061.89 – $16,874.27 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $137.40 – $190.06 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $125.00 – $190.06 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | $635.18 | $132.52 – $170.76 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $74.61 – $114.33 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $55.72 – $85.31 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | $115.21 | $41.63 – $41.63 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $118.63 – $118.63 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | $452.48 | $90.04 – $90.04 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $147.44 – $147.44 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | $495.01 | $121.16 – $121.16 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | $141.38 | $46.88 – $46.88 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | $240.00 | $41.05 – $41.05 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | $360.85 | $61.78 – $91.51 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $157.53 – $157.53 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $63.88 – $163.55 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | $343.80 | $59.82 – $91.66 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $150.93 – $309.69 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | $100.18 | $26.92 – $40.08 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $255.57 – $255.57 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | $335.32 | $70.97 – $95.61 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $70.97 – $94.82 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | $33.00 | $18.58 – $24.87 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.00 – $30.23 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $27.19 – $42.76 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $100.76 – $142.66 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | $46.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | $91.58 | $29.11 – $29.11 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $13.60 – $21.37 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $36.19 – $57.72 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | $335.32 | $95.61 – $95.61 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $31.31 – $31.32 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.29 – $26.76 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | $872.64 | $238.46 – $238.46 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | $1,189.68 | $248.86 – $248.86 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | $778.09 | $199.41 – $199.41 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | $443.33 | $95.05 – $95.05 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $506.33 – $506.33 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | $588.94 | $113.45 – $173.85 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $219.29 – $518.36 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $221.98 – $528.71 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | $1,226.27 | $265.97 – $375.98 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | $132.31 | $46.03 – $46.03 | 1 |
| Vaccine rabies im CPT 90675 | $312.03 | $1,745.27 | $265.23 – $422.98 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | $2,137.33 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | $2,137.33 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.