Artery x-rays lungs 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.
$8,800.00
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.
$267.88 with KARNA vs $8,655.68 with AMERIHEALTH — 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 | $267.88 | ↓ -92% |
| AETNA | HMO | $274.39 | ↓ -92% |
| AETNA | PPO | $274.39 | ↓ -92% |
| CIGNA | HMO | $280.11 | ↓ -92% |
| CIGNA | PPO | $280.11 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,584.00 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $1,628.00 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,804.00 | ↓ -48% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,749.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $4,760.80 | ↑ +38% |
| HORIZON | PIP | $5,728.80 | ↑ +67% |
| HORIZON | WORKERS COMP | $5,912.72 | ↑ +72% |
| HORIZON | OMNIA | $6,354.48 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $6,600.00 | ↑ +92% |
| AETNA | ASA | $6,890.40 | ↑ +100% |
| CIGNA | BH | $7,040.00 | ↑ +105% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,040.00 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,480.00 | ↑ +117% |
| HORIZON | SHP | $7,553.92 | ↑ +120% |
| AMERIHEALTH | LOCAL HMO | $7,641.92 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +125% |
| HORIZON | INDEMNITY | $7,832.00 | ↑ +128% |
| HORIZON | HMO | $7,837.28 | ↑ +128% |
| QUALCARE | PPO | $7,990.40 | ↑ +132% |
| QUALCARE | HMO | $7,990.40 | ↑ +132% |
| QUALCARE | WORKERS COMP | $7,990.40 | ↑ +132% |
| HORIZON | PPO | $8,044.96 | ↑ +134% |
| AMERIHEALTH | REGIONAL HMO | $8,655.68 | ↑ +152% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays lungs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $247.33 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $260.16 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $247.33 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $279.33 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $257.56 – $3,658.03 |
| Palisades Medical Center | North Bergen | $3,706.68 | $234.05 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $247.33 – $7,747.94 |
| Riverview Medical Center | Red Bank | $3,483.84 | $244.99 – $7,747.94 |