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 |
|---|---|---|---|---|
| Intranasal biopsy 30100 CPT 30100 | $1,618.86 | $3,710.00 | $142.72 – $1,942.63 | 7 |
| Intranasal reconstruction CPT 30620 | $6,465.11 | $12,879.00 | $1,428.72 – $7,758.13 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | $1,161.00 | $1,524.16 – $1,524.16 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $556.55 | $2,628.00 | $218.01 – $667.86 | 7 |
| Intraoral periapical first HCPCS D0220 | $96.23 | $120.00 | $43.30 – $115.47 | 7 |
| Intrapul surf admin endo tube CPT 94610 | $222.28 | $263.00 | $91.75 – $392.00 | 8 |
| Intrauterine transfusion ftl CPT 36460 | $477.79 | $1,269.00 | $477.79 – $700.43 | 7 |
| Intraventricular pacing CPT 93612 | $8,292.88 | $12,805.00 | $634.93 – $9,951.46 | 7 |
| Intrinsic factor antibody CPT 86340 | $15.08 | $138.00 | $15.08 – $69.10 | 10 |
| Intrm oph exam est patient CPT 92012 | $140.84 | $372.00 | $81.75 – $169.01 | 7 |
| Intro cath dialysis circuit CPT 36901 | $1,697.72 | $8,525.00 | $334.37 – $2,037.27 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,231.08 | $14,300.00 | $476.85 – $7,477.29 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,393.88 | $22,702.00 | $626.57 – $14,872.66 | 7 |
| Intro catheter aorta CPT 36200 | not published | $3,375.00 | $277.37 – $277.37 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | $2,624.00 | $216.12 – $216.12 | 1 |
| Intro long gi tube CPT 44500 | $1,024.64 | $1,782.00 | $38.23 – $1,229.57 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | $277.00 | $196.39 – $292.93 | 2 |
| Intro windpipe wire/tube CPT 31730 | $1,884.64 | not published | $299.94 – $2,261.57 | 7 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | $4,090.00 | $176.45 – $176.45 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | $1,870.00 | $140.33 – $140.33 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $253.79 | $1,623.00 | $253.79 – $304.55 | 7 |
| Io anal gast n-stim subsq CPT 95981 | $64.92 | not published | $26.49 – $70.76 | 7 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | $158.40 | $555.13 – $555.13 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | $227.95 | not published | $86.69 – $248.47 | 7 |
| Io ga n-stim subsq w/reprog CPT 95982 | $40.75 | not published | $40.75 – $59.54 | 7 |
| Ionm in operatng room 15 min CPT 95940 | not published | $113.00 | $52.40 – $52.40 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | $479.00 | $555.56 – $555.56 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | $14.11 | $0.38 – $0.49 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | $5.80 | $0.13 – $0.15 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | $8,354.51 | not published | $1,536.83 – $9,106.42 | 6 |
| Io rad tx delivery by x-ray CPT 77424 | $8,354.51 | not published | $1,536.83 – $9,106.42 | 6 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.52 – $0.52 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $183.41 | $689.20 | $155.90 – $224.58 | 7 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | $5.96 | $0.33 – $0.42 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | $13.35 | $1.19 – $2.53 | 2 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $65.26 | $271.81 | $55.47 – $80.78 | 7 |
| Iron CPT 83540 | $6.47 | $183.00 | $6.47 – $29.65 | 10 |
| Iron binding capacity CPT 83550 | $8.74 | $113.00 | $8.74 – $40.05 | 10 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $18.03 | not published | $15.33 – $33.99 | 9 |
| Iron stain peripheral blood CPT 85536 | $6.88 | not published | $6.88 – $31.53 | 11 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | $1.71 | $0.19 – $0.29 | 2 |
| Irradiation of blood product each unit reference CPT 86945 | $42.90 | $271.00 | $41.07 – $69.32 | 7 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $64.92 | $303.00 | $42.85 – $77.90 | 7 |
| Irrigation sphenoid sinus CPT 31002 | $1,618.86 | not published | $398.63 – $1,942.63 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $64.92 | not published | $52.66 – $77.90 | 7 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $82.86 | not published | $70.43 – $148.22 | 9 |
| Island pedicle flap graft CPT 15740 | $1,999.13 | $4,463.00 | $1,751.28 – $2,398.95 | 7 |
| Ivc venogram s&i CPT 75825 | $3,439.84 | $6,273.00 | $207.70 – $3,611.83 | 8 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $77.78 | $688.00 | $48.09 – $1,421.00 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | $275.00 | $33.25 – $1,421.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $50.43 | $605.00 | $34.36 – $1,421.00 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $230.26 | $1,870.00 | $107.02 – $1,421.00 | 8 |
| IV inj ra drug dx study CPT 78808 | $439.15 | $1,067.00 | $69.69 – $461.11 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | $436.10 | $1,064.00 | $216.43 – $523.32 | 7 |
| Ivp w/nephrotomography CPT 74415 | $194.55 | $2,475.00 | $159.30 – $492.52 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $194.55 | $834.00 | $127.09 – $407.31 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $138.67 | $527.60 | $117.87 – $166.82 | 7 |
| Jak2 targeted sequence analysis CPT 81279 | $185.20 | $537.00 | $185.20 – $848.65 | 10 |
| Jaw arthroscopy/surgery CPT 29800 | $3,545.97 | $9,118.00 | $1,124.43 – $15,984.00 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | $3,545.97 | $5,686.00 | $1,235.63 – $15,984.00 | 8 |
| Jejunstmy tube plcmt CPT 44372 | $2,073.18 | $4,019.00 | $484.42 – $2,487.82 | 7 |
| John cunningham antibody CPT 86711 | $16.89 | $3,302.00 | $16.89 – $77.40 | 10 |
| J-tube placement CPT 44015 | not published | not published | $286.48 – $286.48 | 1 |
| Keratoprosthesis CPT 65770 | $15,616.50 | $17,047.00 | $2,890.18 – $18,739.80 | 7 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $33.87 – $52.13 | 2 |
| Ketogenic steroids fract CPT 83582 | $15.47 | not published | $15.47 – $70.89 | 11 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $8.17 | $138.00 | $8.17 – $37.44 | 10 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $0.38 | $31.34 | $0.30 – $0.64 | 7 |
| Kidney endoscopy CPT 50551 | $5,555.79 | $14,939.00 | $592.91 – $6,666.94 | 7 |
| Kidney endoscopy CPT 50553 | $5,555.79 | $7,798.00 | $633.97 – $6,666.94 | 7 |
| Kidney endoscopy CPT 50570 | $3,769.31 | not published | $989.81 – $4,523.17 | 7 |
| Kidney endoscopy CPT 50575 | $5,555.79 | $11,092.00 | $1,433.85 – $6,666.94 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | $10,106.03 | $11,092.00 | $687.94 – $12,127.23 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | $3,769.31 | not published | $1,135.98 – $4,523.17 | 7 |
| Kidney endoscopy & treatment CPT 50557 | $10,106.03 | not published | $696.82 – $12,127.23 | 7 |
| Kidney endoscopy & treatment CPT 50561 | $5,555.79 | $9,503.00 | $795.89 – $6,666.94 | 7 |
| Kidney endoscopy & treatment CPT 50576 | $10,106.03 | not published | $1,132.56 – $12,127.23 | 7 |
| Kidney endoscopy & treatment CPT 50580 | $5,555.79 | $9,503.00 | $1,220.68 – $6,666.94 | 7 |
| Kidney function study CPT 78725 | $439.15 | not published | $134.29 – $1,021.05 | 10 |
| Kidney imaging morphology CPT 78700 | $439.15 | $1,788.00 | $228.44 – $546.27 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $588.26 | $2,970.00 | $334.54 – $1,096.82 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $588.26 | $2,420.00 | $334.54 – $677.16 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $116.22 | $1,144.00 | $116.22 – $278.87 | 9 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $65.44 – $65.44 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $7.73 – $12.45 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | not published | $11,656.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $124.87 | $2,413.00 | $124.87 – $572.20 | 10 |
| Kit hfx iq ipg bundle HCPCS C1822 | not published | $85,560.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | not published | $64,350.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $15.28 – $24.57 | 2 |
| Kit lead specify 5-6-5 HCPCS C1778 | not published | $90,520.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | not published | $1,889.76 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | $6,473.87 | $22.18 – $33.01 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | $10,998.80 | $2,486.01 – $3,150.58 | 2 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | not published | $2,305.16 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | $27.80 | $29.15 – $29.15 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $3,545.97 | $7,566.00 | $1,308.96 – $15,984.00 | 8 |
| Knee arthroscopy/drainage CPT 29871 | $3,545.97 | $7,798.00 | $1,090.27 – $15,984.00 | 8 |
| Knee arthroscopy dx CPT 29870 | $3,545.97 | $7,624.00 | $870.44 – $15,984.00 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $3,545.97 | $7,673.00 | $1,144.38 – $15,984.00 | 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.