Artery x-rays lung at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,439.84
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.
$3,832.00
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.
$246.28 with KARNA vs $7,747.94 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $246.28 | ↓ -93% |
| AETNA | HMO | $302.08 | ↓ -91% |
| AETNA | PPO | $302.08 | ↓ -91% |
| CIGNA | PPO | $312.03 | ↓ -91% |
| CIGNA | HMO | $312.03 | ↓ -91% |
| CLOVER | MEDICARE ADVANTAGE | $689.76 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $708.92 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $785.56 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| OXFORD | ALL PRODUCTS | $2,073.11 | ↓ -40% |
| HORIZON | PIP | $2,494.63 | ↓ -27% |
| HORIZON | WORKERS COMP | $2,574.72 | ↓ -25% |
| HORIZON | OMNIA | $2,767.09 | ↓ -20% |
| BERGEN RISK | ALL PRODUCTS | $2,874.00 | ↓ -16% |
| AETNA | ASA | $3,000.46 | ↓ -13% |
| CIGNA | BH | $3,065.60 | ↓ -11% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,065.60 | ↓ -11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,257.20 | ↓ -5% |
| HORIZON | SHP | $3,289.39 | ↓ -4% |
| AMERIHEALTH | LOCAL HMO | $3,327.71 | ↓ -3% |
| HORIZON | INDEMNITY | $3,410.48 | ↓ -1% |
| HORIZON | HMO | $3,412.78 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| QUALCARE | HMO | $3,479.46 | ↑ +1% |
| QUALCARE | PPO | $3,479.46 | ↑ +1% |
| QUALCARE | WORKERS COMP | $3,479.46 | ↑ +1% |
| HORIZON | PPO | $3,503.21 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,749.43 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $3,769.16 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +125% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays lung at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $272.29 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $80.28 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $246.28 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $257.90 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $246.28 – $3,658.03 |
| Palisades Medical Center | North Bergen | $3,706.68 | $88.56 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $121.50 – $7,747.94 |
| Riverview Medical Center | Red Bank | $3,483.84 | $75.60 – $7,747.94 |