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 |
|---|---|---|---|---|
| Ghs trypsin (fecal) CPT 84488 | $7.30 | not published | $7.30 – $33.45 | 11 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $262.16 | $1,033.00 | $262.16 – $596.33 | 7 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $262.16 | $670.00 | $262.16 – $498.62 | 7 |
| Ghs urine, hydroxproline total CPT 83505 | $24.30 | not published | $24.30 – $111.35 | 11 |
| Ghs urine, porphyrins quant CPT 84120 | $14.71 | $68.00 | $14.71 – $67.41 | 10 |
| Ghs vaginal delivery only CPT 59409 | $3,474.84 | $5,891.00 | $904.11 – $3,709.00 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $579.88 | $3,300.00 | $579.88 – $2,046.37 | 7 |
| Ghs windowing of cast CPT 29730 | $172.45 | $411.00 | $92.16 – $206.93 | 7 |
| Giardia lamblia antibody CPT 86674 | $14.72 | $107.00 | $14.72 – $67.45 | 10 |
| Gi endoscopic ultrasound CPT 76975 | $264.17 | not published | $115.03 – $623.08 | 8 |
| Gi inhouse confirmation CPT 87045 | $9.44 | $112.00 | $9.44 – $43.26 | 10 |
| Gingivoplasty each quadrant CPT 41872 | $3,544.29 | $7,300.00 | $643.81 – $4,253.14 | 7 |
| Gi protein loss CPT 78282 | $439.15 | not published | $94.65 – $1,021.05 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,024.64 | $4,510.00 | $1,024.64 – $1,248.12 | 7 |
| Gi trc img intral colon i&r CPT 91113 | $996.39 | $4,283.00 | $996.39 – $1,529.04 | 7 |
| Gi trc img intral esophagus CPT 91111 | $1,024.64 | $2,610.00 | $1,024.64 – $1,501.49 | 7 |
| Gi wireless capsule measure CPT 91112 | $1,024.64 | $2,288.00 | $1,024.64 – $2,760.56 | 7 |
| Gjb2 gene full sequence CPT 81252 | $101.12 | $1,884.00 | $101.12 – $463.37 | 10 |
| Gjb2 gene known fam variants CPT 81253 | $61.52 | $660.00 | $61.52 – $281.91 | 10 |
| Gjb6 gene com variants CPT 81254 | $35.00 | $867.00 | $35.00 – $160.38 | 10 |
| Glassia injection HCPCS J0257 | $5.71 | not published | $4.85 – $10.69 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $26.76 | not published | $26.76 – $113.39 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $42.90 | not published | $15.60 – $75.25 | 7 |
| Glaucoma surgery CPT 66150 | $4,396.50 | not published | $1,818.10 – $5,275.80 | 7 |
| Glaucoma surgery CPT 66155 | $4,396.50 | not published | $1,817.42 – $5,275.80 | 7 |
| Glaucoma surgery CPT 66160 | $2,492.56 | $5,372.00 | $2,038.97 – $2,991.08 | 7 |
| Glaucoma surgery CPT 66170 | $2,492.56 | $5,067.00 | $2,260.47 – $2,991.08 | 7 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | $135.00 | $82.72 – $177.31 | 2 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $195.79 | $528.39 | $166.42 – $245.35 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $144.88 | $1,114.99 | $123.15 – $173.86 | 7 |
| Glucagon plasma - sendout CPT 82943 | $14.29 | $94.00 | $14.29 – $65.48 | 10 |
| Glucose 1 hr post dose CPT 82950 | $4.75 | $65.00 | $4.75 – $21.77 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.05 | not published | $6.05 – $27.72 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $3.28 | $83.00 | $3.28 – $15.03 | 10 |
| Glucose blood quantitative CPT 82947 | $3.93 | $81.00 | $3.93 – $18.01 | 10 |
| Glucose body fluid CPT 82945 | $3.93 | $108.00 | $3.93 – $18.01 | 10 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $64.92 | not published | $64.92 – $112.31 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $12.87 | $252.00 | $12.87 – $58.97 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $3.92 | $110.00 | $3.92 – $17.96 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.43 | $17.40 | $0.37 – $0.80 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11.03 | $208.85 | $9.38 – $16.07 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $18.58 | $316.00 | $18.58 – $85.14 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $18.52 | $316.00 | $18.52 – $84.87 | 10 |
| Gonioscopy CPT 92020 | $140.87 | not published | $33.16 – $169.05 | 7 |
| Goniotomy CPT 65820 | $4,396.50 | $8,176.00 | $1,711.67 – $5,275.80 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $734.15 | $2,577.91 | $624.03 – $880.98 | 7 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | $451.71 | $25.76 – $39.60 | 2 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $26,165.38 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,011.87 – $1,905.91 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | $25,668.00 | $56.37 – $110.11 | 2 |
| Graft hand or finger tendon CPT 26416 | $3,545.97 | $6,846.00 | $1,949.13 – $4,255.16 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | $29,926.16 | $39.44 – $39.44 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $876.25 – $876.25 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | $52,948.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | $39,557.56 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | $18,501.42 | $50.87 – $55.60 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | $6,448.00 | $83.76 – $135.16 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | $3,380.00 | $2,272.60 – $2,272.60 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | $1,104.84 | $115.75 – $177.56 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | $777.90 | $41.52 – $58.61 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | $69,229.20 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | $3,112.40 | $75.80 – $206.10 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | $104,234.65 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | $5,190.64 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.59 – $3.59 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.20 – $0.73 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | $6,243.00 | $359.00 – $4,793.00 | 2 |
| Great toe with reduction 28495 CPT 28495 | $262.16 | $816.00 | $262.16 – $322.10 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $1,999.13 | $4,463.00 | $1,046.62 – $2,398.95 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $4,001.00 | $7,150.00 | $1,070.38 – $4,801.20 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | $6,433.00 | $303.09 – $303.09 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,001.00 | $7,150.00 | $1,002.09 – $4,801.20 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $19.31 | $81.00 | $19.31 – $465.00 | 9 |
| Growth hormone antibody CPT 86277 | $15.74 | not published | $15.74 – $72.13 | 11 |
| Growth stimulation gene 2 CPT 83006 | $75.60 | $1,200.00 | $47.02 – $346.43 | 10 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,952.69 – $3,952.69 | 1 |
| Gstrst open wo constj tube CPT 43830 | $2,073.18 | $4,355.00 | $1,460.06 – $2,487.82 | 7 |
| G-tube reposition CPT 43761 | $265.80 | $2,111.00 | $211.22 – $318.96 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,238.78 | $4,466.00 | $204.65 – $2,350.71 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $768.94 | $2,005.00 | $271.04 – $922.73 | 7 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $528.64 – $1,019.81 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | $11,780.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | $1,736.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | $912.00 | $237.04 – $2,759.00 | 4 |
| Gum graft CPT 41870 | $1,618.86 | $7,300.00 | $1,618.86 – $1,942.63 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | not published | $64,480.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $4,184.94 | $7,014.00 | $907.24 – $5,021.93 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | $668.98 | not published | $668.98 – $802.78 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $436.64 | not published | $436.64 – $524.68 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | $436.64 | not published | $436.64 – $718.53 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | $374.17 | $3.98 – $11.43 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | $28.58 | $0.71 – $1.84 | 2 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $26.29 – $42.27 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $8.33 – $14.00 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $89.48 – $175.50 | 2 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | $8,804.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | $3,545.97 | $7,582.00 | $1,785.73 – $4,255.16 | 7 |
| Hand tendon reconstruction CPT 26500 | $7,807.24 | $11,161.00 | $1,465.78 – $9,368.69 | 7 |
| Hand tendon reconstruction CPT 26502 | $3,545.97 | $7,582.00 | $1,606.49 – $4,255.16 | 7 |
| Hand X-ray CPT 73130 | $96.23 | $550.00 | $39.24 – $101.04 | 9 |
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.