Brain image 4+ views at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$588.26
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.
$1,774.00
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.
$254.75 with UNITED HEALTHCARE vs $1,621.79 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $319.32 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $328.19 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $344.02 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $354.06 | ↓ -40% |
| AMERIHEALTH | REGIONAL HMO | $360.18 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $363.67 | ↓ -38% |
| AETNA | PPO | $564.14 | ↓ -4% |
| AETNA | HMO | $564.14 | ↓ -4% |
| VACCN | ALL PRODUCTS | $588.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $588.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $617.68 | ↑ +5% |
| CIGNA | PPO | $632.71 | ↑ +8% |
| CIGNA | HMO | $632.71 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $641.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $705.92 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $959.73 | ↑ +63% |
| HORIZON | PIP | $1,154.87 | ↑ +96% |
| HORIZON | WORKERS COMP | $1,191.95 | ↑ +103% |
| HORIZON | OMNIA | $1,281.01 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +125% |
| BERGEN RISK | ALL PRODUCTS | $1,330.50 | ↑ +126% |
| AETNA | ASA | $1,389.04 | ↑ +136% |
| CIGNA | BH | $1,419.20 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,507.90 | ↑ +156% |
| HORIZON | SHP | $1,522.80 | ↑ +159% |
| HORIZON | INDEMNITY | $1,578.86 | ↑ +168% |
| HORIZON | HMO | $1,579.92 | ↑ +169% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,596.60 | ↑ +171% |
| QUALCARE | WORKERS COMP | $1,610.79 | ↑ +174% |
| QUALCARE | HMO | $1,610.79 | ↑ +174% |
| QUALCARE | PPO | $1,610.79 | ↑ +174% |
| HORIZON | PPO | $1,621.79 | ↑ +176% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Brain image 4+ views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $254.75 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $110.79 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $254.75 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $316.60 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $254.75 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $122.21 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $167.67 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $104.33 – $1,325.05 |