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 |
|---|---|---|---|---|
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $18.05 | $99.00 | $18.05 – $82.71 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $28.27 | $78.00 | $28.27 – $129.54 | 10 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $46.35 | $372.00 | $30.54 – $212.39 | 10 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $24.08 | $312.00 | $24.08 – $110.34 | 10 |
| Screening Mammogram CPT 77067 | $169.06 | $748.00 | $119.35 – $341.87 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $38.40 – $45.11 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $19.31 | $325.00 | $19.31 – $88.49 | 10 |
| Screen pap by tech w md supv HCPCS P3000 | $18.19 | $301.00 | $18.19 – $69.42 | 10 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | $40.00 | $5.71 – $5.71 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | not published | $65,538.96 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $77.78 | $194.00 | $77.78 – $1,421.00 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | $4,111.00 | $1,713.97 – $1,713.97 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | $7,082.00 | $483.64 – $483.64 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $9.83 – $9.83 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $2.70 | $81.00 | $2.70 – $12.37 | 10 |
| Segmentectomy 32484 CPT 32484 | not published | $4,346.00 | $2,900.07 – $2,900.07 | 1 |
| Select picture audiometry CPT 92583 | $64.92 | $230.00 | $64.92 – $465.00 | 8 |
| Self-meas bp pt educaj/train CPT 99473 | $26.76 | not published | $24.64 – $32.12 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | $245.00 | $25.21 – $465.00 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | $245.00 | $18.90 – $465.00 | 4 |
| Semen analysis presence/motility CPT 89321 | $12.05 | not published | $12.05 – $55.22 | 11 |
| Semen analysis w/count CPT 89310 | $8.61 | not published | $8.61 – $39.45 | 11 |
| Sensorimotor examination CPT 92060 | $64.92 | $239.00 | $64.92 – $107.19 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | $42.90 | not published | $42.90 – $127.25 | 7 |
| Separate eyelid adhesions CPT 68340 | $2,549.65 | $4,454.00 | $822.78 – $3,059.57 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | $192.00 | $651.00 | $131.45 – $879.81 | 10 |
| Sequestrectomy olecrn proces CPT 24138 | $7,807.24 | $13,938.00 | $1,459.85 – $9,368.69 | 7 |
| Sequestrectomy radial h/n CPT 24136 | $3,545.97 | not published | $1,338.36 – $4,255.16 | 7 |
| Sequestrectomy shft/dstl hum CPT 24134 | $7,807.24 | $13,938.00 | $1,575.25 – $9,368.69 | 7 |
| Serial casting application 97139app CPT 97139 | not published | $165.00 | $37.27 – $488.00 | 6 |
| Serpina1 gene CPT 81332 | $43.65 | $1,175.00 | $43.65 – $200.02 | 10 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $38.38 – $63.88 | 2 |
| Set radiation therapy field CPT 77280 | $145.10 | $2,136.00 | $145.10 – $2,703.00 | 9 |
| Set radiation therapy field CPT 77285 | $400.07 | $3,334.00 | $400.07 – $2,703.00 | 8 |
| Set radiation therapy field CPT 77290 | $400.07 | $4,824.00 | $400.07 – $21,431.00 | 10 |
| Set-up cardiovert-defibrill CPT 93745 | $327.77 | not published | $203.47 – $393.32 | 7 |
| Sever cranial nerve CPT 64771 | $2,134.14 | $4,205.00 | $1,211.43 – $2,560.97 | 7 |
| Sex transformation f to m CPT 55980 | $3,769.31 | not published | $3,769.31 – $4,523.17 | 6 |
| Sex transformation m to f CPT 55970 | $5,394.95 | $11,747.00 | $5,394.95 – $6,473.94 | 6 |
| Sgmdsc w/band ligation CPT 45350 | $1,288.59 | $2,782.00 | $206.47 – $1,546.31 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $217.16 | $481.00 | $92.76 – $260.59 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $217.16 | $512.00 | $127.82 – $260.59 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $436.64 | $560.00 | $151.20 – $523.97 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $436.64 | $751.00 | $195.87 – $523.97 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $217.16 | $481.00 | $75.69 – $260.59 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $217.16 | $512.00 | $99.23 – $260.59 | 7 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $217.16 | $560.00 | $126.70 – $260.59 | 7 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $436.64 | $751.00 | $141.29 – $523.97 | 7 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $436.64 | $481.00 | $69.39 – $523.97 | 7 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $217.16 | $512.00 | $104.45 – $260.59 | 7 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $217.16 | $560.00 | $121.64 – $260.59 | 7 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | not published | $8,122.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | not published | $14,391.30 | not published | 0 |
| Shigella antibody CPT 86771 | $24.48 | not published | $24.48 – $112.18 | 11 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,545.97 | $7,805.00 | $989.28 – $15,984.00 | 8 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $7,807.24 | $10,603.00 | $1,915.70 – $15,984.00 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | $7,807.24 | $12,526.00 | $2,213.88 – $15,984.00 | 8 |
| Sho arthrs srg compl synvct CPT 29821 | $3,545.97 | $7,797.00 | $1,249.56 – $15,984.00 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $3,545.97 | $7,508.00 | $1,144.38 – $15,984.00 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,545.97 | $7,480.00 | $1,235.80 – $15,984.00 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | $7,807.24 | $12,524.00 | $1,124.40 – $15,984.00 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $3,545.97 | $7,668.00 | $1,238.61 – $15,984.00 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | $7,807.24 | $13,089.00 | $2,162.55 – $15,984.00 | 8 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,545.97 | $6,457.00 | $1,249.88 – $15,984.00 | 8 |
| Shoe post-op mens m HCPCS L3260 | not published | $206.00 | $44.78 – $44.78 | 1 |
| Shortening of hand tendon CPT 26479 | $3,545.97 | not published | $1,441.09 – $4,255.16 | 7 |
| Shorten radius or ulna CPT 25390 | $7,807.24 | $12,716.00 | $1,616.96 – $9,368.69 | 7 |
| Shorten radius & ulna CPT 25392 | $7,807.24 | $21,824.00 | $2,119.27 – $9,368.69 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,807.24 | $9,870.00 | $2,229.02 – $15,984.00 | 8 |
| Shoulder MRI (with and without contrast) CPT 73223 | $390.30 | $4,827.00 | $390.30 – $4,332.00 | 10 |
| Shoulder MRI (with contrast) CPT 73222 | $863.44 | $4,498.00 | $593.68 – $4,332.00 | 10 |
| Shoulder MRI (without contrast) CPT 73221 | $264.17 | $4,113.00 | $264.17 – $4,332.00 | 10 |
| Shoulder prosthesis removal CPT 23334 | $3,127.88 | $6,377.00 | $2,208.92 – $3,753.45 | 7 |
| Shoulder prosthesis removal CPT 23335 | not published | $7,150.00 | $2,634.78 – $2,634.78 | 1 |
| Shoulder X-ray CPT 73030 | $96.23 | $688.00 | $43.28 – $101.04 | 9 |
| Shrinker prosth above knee HCPCS L8460 | not published | $102.00 | $63.29 – $135.67 | 2 |
| Shrinker prosth below knee HCPCS L8440 | not published | $83.00 | $51.38 – $85.12 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | $6,944.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $116.22 | $475.00 | $58.94 – $236.91 | 8 |
| Sialidase enzyme assay CPT 87905 | $12.22 | not published | $12.22 – $56.00 | 11 |
| Sialography s&i CPT 70390 | $264.17 | $921.00 | $134.29 – $366.56 | 8 |
| Sialolithotomy 42330 CPT 42330 | $3,544.29 | $5,304.00 | $347.21 – $4,253.14 | 7 |
| Sickling rbc CPT 85660 | $5.51 | $330.00 | $5.51 – $25.25 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | $996.39 | $2,566.00 | $148.27 – $1,195.67 | 7 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $996.39 | $2,662.00 | $231.74 – $1,195.67 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,288.59 | $3,441.00 | $239.36 – $1,546.31 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $996.39 | $2,308.00 | $137.29 – $1,195.67 | 7 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,288.59 | $3,270.00 | $325.61 – $1,546.31 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,288.59 | $2,409.00 | $215.39 – $1,546.31 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $6,505.71 | $6,790.00 | $312.48 – $7,806.85 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | $2,997.10 | $6,337.00 | $400.99 – $3,596.52 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,288.59 | $3,042.00 | $244.81 – $1,546.31 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $996.39 | $3,655.00 | $252.39 – $1,195.67 | 7 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,288.59 | $5,139.00 | $346.18 – $1,546.31 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $996.39 | $2,357.00 | $192.72 – $1,195.67 | 7 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $64.92 | not published | $53.60 – $77.90 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,288.59 | $2,995.00 | $160.58 – $1,546.31 | 7 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $68.53 – $68.53 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $12,393.88 | not published | $12,393.88 – $14,872.66 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $265.80 | $989.00 | $265.80 – $480.43 | 7 |
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.