Anal/urinary muscle study at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$170.99
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.
$761.00
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.
$0.01 with CIGNA vs $10,149.00 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $134.36 | ↓ -21% |
| CLOVER | MEDICARE ADVANTAGE | $136.98 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $140.79 | ↓ -18% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $156.01 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $170.99 | ↑ +0% |
| VACCN | ALL PRODUCTS | $170.99 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $186.38 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $448.23 | ↑ +162% |
| HORIZON | MANAGED MEDICAID | $482.32 | ↑ +182% |
| HORIZON | PIP | $495.41 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $540.99 | ↑ +216% |
| BERGEN RISK | ALL PRODUCTS | $570.75 | ↑ +234% |
| UNITED HEALTHCARE | HMO | $591.14 | ↑ +246% |
| AETNA | ASA | $595.86 | ↑ +248% |
| CIGNA | BH | $608.80 | ↑ +256% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $646.85 | ↑ +278% |
| AMERIHEALTH | LOCAL HMO | $660.85 | ↑ +286% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $684.90 | ↑ +301% |
| AETNA | PPO | $685.05 | ↑ +301% |
| AETNA | HMO | $685.05 | ↑ +301% |
| QUALCARE | HMO | $690.99 | ↑ +304% |
| QUALCARE | PPO | $690.99 | ↑ +304% |
| QUALCARE | WORKERS COMP | $690.99 | ↑ +304% |
| AMERIHEALTH | REGIONAL HMO | $748.52 | ↑ +338% |
| HORIZON | OMNIA | $6,368.00 | ↑ +3624% |
| HORIZON | SHP | $7,264.00 | ↑ +4148% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +4501% |
| HORIZON | HMO | $7,869.00 | ↑ +4502% |
| HORIZON | PPO | $8,077.00 | ↑ +4624% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +5835% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $207.82 |
| Hackensack University Medical Center | Hackensack | $184.26 | $139.91 – $193.47 |
| Ocean University Medical Center | Brick | $170.99 | $134.36 – $205.19 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $122.00 – $173.33 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $134.36 – $207.82 |
| Palisades Medical Center | North Bergen | $184.26 | $120.17 – $200.84 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $139.91 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $134.36 – $207.82 |