Cardiac MRI w/stress img at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$599.23
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.
$1,784.00
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.
$321.12 with CLOVER vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $321.12 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $330.04 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $365.72 | ↓ -39% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $599.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $599.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $599.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $599.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $629.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $653.16 | ↑ +9% |
| AETNA | HMO | $697.30 | ↑ +16% |
| AETNA | PPO | $697.30 | ↑ +16% |
| KARNA | MEDICARE ADVANTAGE | $704.88 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $719.07 | ↑ +20% |
| CIGNA | HMO | $836.43 | ↑ +40% |
| CIGNA | PPO | $836.43 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +59% |
| OXFORD | ALL PRODUCTS | $965.14 | ↑ +61% |
| AMERIHEALTH | LOCAL HMO | $1,094.00 | ↑ +83% |
| AMERIHEALTH | REGIONAL HMO | $1,112.92 | ↑ +86% |
| HORIZON | PIP | $1,161.38 | ↑ +94% |
| UNITED HEALTHCARE | HMO | $1,174.63 | ↑ +96% |
| HORIZON | WORKERS COMP | $1,198.67 | ↑ +100% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,230.96 | ↑ +105% |
| HORIZON | OMNIA | $1,288.23 | ↑ +115% |
| AETNA | ASA | $1,396.87 | ↑ +133% |
| CIGNA | BH | $1,427.20 | ↑ +138% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,516.40 | ↑ +153% |
| HORIZON | SHP | $1,531.39 | ↑ +156% |
| HORIZON | INDEMNITY | $1,587.76 | ↑ +165% |
| HORIZON | HMO | $1,588.83 | ↑ +165% |
| QUALCARE | WORKERS COMP | $1,619.87 | ↑ +170% |
| QUALCARE | HMO | $1,619.87 | ↑ +170% |
| QUALCARE | PPO | $1,619.87 | ↑ +170% |
| HORIZON | PPO | $1,630.93 | ↑ +172% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +623% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac MRI w/stress img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $606.89 | $606.89 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $645.71 | $446.01 – $4,332.00 |
| Ocean University Medical Center | Brick | $599.23 | $548.30 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $548.30 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $606.89 – $4,332.00 |
| Palisades Medical Center | North Bergen | $645.71 | $492.00 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $607.42 – $4,332.00 |
| Riverview Medical Center | Red Bank | $606.89 | $606.89 – $4,332.00 |