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 |
|---|---|---|---|---|
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $4.21 | $4.30 | $3.58 – $5.05 | 6 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | $0.44 | $0.05 – $0.08 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.04 | $0.57 | $0.03 – $0.07 | 7 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $3.11 | not published | $2.64 – $3.73 | 7 |
| Inj delandistrogene mox rokl HCPCS J1413 | $3,324,571.90 | not published | $3,324,571.90 – $3,989,486.28 | 6 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $27.54 | not published | $27.54 – $33.05 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | $1,250.00 | $288.38 – $288.38 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $4.14 | not published | $3.52 – $5.33 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | $322.61 | $715.00 | $135.91 – $387.13 | 7 |
| Inj, durolane 1 mg HCPCS J7318 | $6.68 | not published | $5.68 – $38.10 | 9 |
| Inj dx for sinogram CPT 20501 | not published | $660.00 | $73.01 – $73.01 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $756.84 | $1,813.00 | $168.12 – $908.21 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | $799.00 | $137.62 – $137.62 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | $52.04 | not published | $44.23 – $93.24 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | $481.57 | not published | $409.33 – $816.37 | 9 |
| Injection, cangrelor HCPCS C9460 | $19.81 | $83.11 | $19.81 – $23.77 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $322.61 | $496.00 | $116.95 – $387.13 | 7 |
| Injection, daratumumab 10 mg HCPCS J9145 | $69.84 | not published | $59.36 – $122.88 | 9 |
| Injection, doxercalciferol HCPCS J1270 | not published | $11.88 | $0.31 – $0.49 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | not published | $641.00 | $60.44 – $60.44 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | $18.84 | $111.11 | $16.01 – $28.41 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $756.84 | $2,307.00 | $230.94 – $908.21 | 7 |
| Injection eye drug CPT 67028 | $362.50 | $909.00 | $187.06 – $435.00 | 7 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | $835.00 | $147.70 – $147.70 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | $1,444.00 | $87.44 – $87.44 | 1 |
| Injection for hip x-ray CPT 27095 | not published | $666.00 | $166.58 – $166.58 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | $746.00 | $100.47 – $100.47 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | $373.00 | $260.96 – $260.96 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | $160.00 | $105.65 – $105.65 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | $513.00 | $105.05 – $105.05 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | $428.00 | $142.55 – $142.55 | 1 |
| Injection, fulvestrant HCPCS J9395 | $6.98 | $382.84 | $5.93 – $11.00 | 7 |
| Injection glatiramer acetate HCPCS J1595 | $160.39 | not published | $134.90 – $302.88 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $12.35 | not published | $10.50 – $15.80 | 8 |
| Injection into brain canal CPT 61026 | $756.84 | not published | $227.99 – $908.21 | 7 |
| Injection into brain canal CPT 61055 | $322.61 | $1,946.00 | $239.39 – $387.13 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | $996.39 | $1,577.00 | $387.29 – $1,195.67 | 7 |
| Injection into spinal artery CPT 62294 | $972.98 | not published | $972.98 – $2,017.29 | 7 |
| Injection into vocal cord CPT 31513 | $424.38 | $1,040.00 | $270.87 – $509.25 | 7 |
| Injection, isavuconazonium HCPCS J1833 | $1.01 | not published | $1.01 – $1.78 | 8 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $5.73 | not published | $4.87 – $12.33 | 9 |
| Injection of HIV prep drug HCPCS G0012 | $77.78 | not published | $25.28 – $93.34 | 7 |
| Injection of sinus tract CPT 20500 | $1,618.86 | $3,359.00 | $186.20 – $1,942.63 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $6.50 | $32.21 | $5.53 – $8.24 | 7 |
| Injection, peramivir HCPCS J2547 | $1.68 | not published | $1.68 – $985.97 | 8 |
| Injection px peyronie ds CPT 54200 | $265.80 | $541.00 | $183.36 – $318.96 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $439.15 | $2,063.00 | $64.88 – $526.98 | 7 |
| Injection, renflexis HCPCS Q5104 | $25.05 | not published | $21.29 – $85.00 | 9 |
| Injection, ruconest HCPCS J0596 | $36.74 | not published | $31.23 – $64.47 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $756.84 | $2,750.00 | $406.07 – $908.21 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $756.84 | $1,718.00 | $127.57 – $908.21 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $756.84 | $3,486.00 | $85.84 – $908.21 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $972.98 | $4,349.00 | $228.50 – $1,167.58 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | $3,520.00 | $120.44 – $120.44 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $972.98 | $3,566.00 | $215.99 – $1,167.58 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | $2,200.00 | $103.32 – $103.32 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $972.98 | $3,850.00 | $185.92 – $1,167.58 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $756.84 | $3,992.00 | $219.71 – $908.21 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $756.84 | $4,620.00 | $203.24 – $908.21 | 7 |
| Injection, siltuximab HCPCS J2860 | $161.96 | not published | $137.67 – $268.78 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $322.61 | $770.00 | $79.39 – $387.13 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $322.61 | $1,605.00 | $75.53 – $387.13 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $322.61 | $1,540.00 | $85.84 – $387.13 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $50.43 | $461.00 | $11.73 – $1,421.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | $330.00 | $14.14 – $1,421.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $230.26 | $715.00 | $25.30 – $1,421.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $77.78 | $1,987.00 | $7.97 – $93.34 | 8 |
| Injection treatment of eye CPT 66020 | $2,492.56 | $4,832.00 | $271.77 – $2,991.08 | 7 |
| Injection treatment of eye CPT 66030 | $2,492.56 | $3,718.00 | $231.17 – $2,991.08 | 7 |
| Injection treatment of nerve CPT 64605 | $2,134.14 | $4,212.00 | $892.51 – $2,560.97 | 7 |
| Injection treatment of nerve CPT 64610 | $2,134.14 | $4,704.00 | $1,000.96 – $2,560.97 | 7 |
| Injection treatment of nerve CPT 64681 | $972.98 | not published | $448.55 – $1,167.58 | 7 |
| Injection treatment of nose CPT 30200 | $556.55 | $1,822.00 | $124.89 – $667.86 | 7 |
| Inject sacroiliac joint CPT 27096 | not published | $1,813.00 | $169.71 – $169.71 | 1 |
| Inject/treat eye socket CPT 67500 | $326.69 | $784.00 | $131.11 – $392.03 | 7 |
| Inject/treat eye socket CPT 67505 | $326.69 | $872.00 | $146.82 – $392.03 | 7 |
| Inject/treat eye socket CPT 67515 | $326.69 | $784.00 | $95.89 – $392.03 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $33.74 | not published | $28.63 – $40.49 | 7 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | $21.12 | not published | $17.95 – $38.66 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $381.64 | not published | $324.39 – $778.06 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $57.43 | $396.81 | $48.82 – $68.92 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $756.84 | $1,640.00 | $204.50 – $908.21 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $972.98 | $2,396.00 | $161.51 – $1,167.58 | 7 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $189.75 | not published | $161.29 – $355.69 | 9 |
| Inj., evomela, 1 mg HCPCS J9246 | $17.37 | not published | $14.76 – $39.08 | 9 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $9.91 | not published | $8.42 – $17.61 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $34.48 | not published | $29.31 – $47.01 | 8 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $18.95 | not published | $16.11 – $52.40 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $140.43 | not published | $119.37 – $272.84 | 9 |
| Inj., fibryga, 1 mg HCPCS J7177 | $1.21 | not published | $1.03 – $2.34 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $7.43 | $716.16 | $6.32 – $9.83 | 7 |
| Inj, focinvez, 1mg HCPCS J1434 | $2.87 | not published | $2.44 – $3.44 | 7 |
| Inj for ext venography CPT 36005 | not published | $886.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | not published | $705.00 | $152.36 – $152.36 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | $1.13 | not published | $0.57 – $1.36 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | $606.35 | not published | $226.04 – $1,082.30 | 9 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $3.32 | $197.44 | $2.82 – $69.03 | 7 |
| Inj, fulvestrant (teva) HCPCS J9393 | $46.21 | not published | $33.66 – $55.45 | 7 |
| Inj givosiran 0.5 mg HCPCS J0223 | $117.19 | not published | $99.61 – $229.07 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $2,770.57 | not published | $2,354.98 – $3,527.08 | 8 |
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.