Abdominal CT scan (without contrast) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,980.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$116.22 with VACCN vs $1,810.12 with HORIZON — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| CIGNA | HMO | $251.91 | ↑ +117% |
| CIGNA | PPO | $251.91 | ↑ +117% |
| KARNA | MEDICARE ADVANTAGE | $256.06 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +128% |
| AETNA | HMO | $279.93 | ↑ +141% |
| AETNA | PPO | $279.93 | ↑ +141% |
| CLOVER | MEDICARE ADVANTAGE | $356.40 | ↑ +207% |
| AETNA | MANAGED MEDICAID | $366.30 | ↑ +215% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $405.90 | ↑ +249% |
| AMERIHEALTH | LOCAL HMO | $535.06 | ↑ +360% |
| AMERIHEALTH | REGIONAL HMO | $544.32 | ↑ +368% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| OXFORD | ALL PRODUCTS | $1,071.18 | ↑ +822% |
| HORIZON | PIP | $1,288.98 | ↑ +1009% |
| HORIZON | WORKERS COMP | $1,330.36 | ↑ +1045% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,366.20 | ↑ +1076% |
| HORIZON | OMNIA | $1,429.76 | ↑ +1130% |
| BERGEN RISK | ALL PRODUCTS | $1,485.00 | ↑ +1178% |
| AETNA | ASA | $1,550.34 | ↑ +1234% |
| CIGNA | BH | $1,584.00 | ↑ +1263% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,683.00 | ↑ +1348% |
| HORIZON | SHP | $1,699.63 | ↑ +1362% |
| HORIZON | INDEMNITY | $1,762.20 | ↑ +1416% |
| HORIZON | HMO | $1,763.39 | ↑ +1417% |
| QUALCARE | WORKERS COMP | $1,797.84 | ↑ +1447% |
| QUALCARE | PPO | $1,797.84 | ↑ +1447% |
| QUALCARE | HMO | $1,797.84 | ↑ +1447% |
| HORIZON | PPO | $1,810.12 | ↑ +1457% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $1,943.71 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,762.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $478.46 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $2,083.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,752.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $1,762.00 |