Cardiac perf planar mult/ef/wm at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,426.73
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.
$3,960.00
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.
$614.40 with UNITED HEALTHCARE vs $3,620.23 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 | $614.40 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $712.80 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $732.60 | ↓ -49% |
| KARNA | MEDICARE ADVANTAGE | $735.41 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $811.80 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $1,014.43 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $1,031.98 | ↓ -28% |
| AETNA | HMO | $1,201.52 | ↓ -16% |
| AETNA | PPO | $1,201.52 | ↓ -16% |
| CIGNA | HMO | $1,341.32 | ↓ -6% |
| CIGNA | PPO | $1,341.32 | ↓ -6% |
| VACCN | ALL PRODUCTS | $1,426.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,426.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,498.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,555.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,712.08 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,142.36 | ↑ +50% |
| HORIZON | PIP | $2,577.96 | ↑ +81% |
| HORIZON | WORKERS COMP | $2,660.72 | ↑ +86% |
| HORIZON | OMNIA | $2,859.52 | ↑ +100% |
| BERGEN RISK | ALL PRODUCTS | $2,970.00 | ↑ +108% |
| AETNA | ASA | $3,100.68 | ↑ +117% |
| CIGNA | BH | $3,168.00 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,366.00 | ↑ +136% |
| HORIZON | SHP | $3,399.26 | ↑ +138% |
| HORIZON | INDEMNITY | $3,524.40 | ↑ +147% |
| HORIZON | HMO | $3,526.78 | ↑ +147% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +148% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,564.00 | ↑ +150% |
| QUALCARE | WORKERS COMP | $3,595.68 | ↑ +152% |
| QUALCARE | HMO | $3,595.68 | ↑ +152% |
| QUALCARE | PPO | $3,595.68 | ↑ +152% |
| HORIZON | PPO | $3,620.23 | ↑ +154% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf planar mult/ef/wm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,444.98 | $614.40 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $178.40 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $614.40 – $3,535.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $775.48 – $3,744.78 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $614.40 – $4,012.50 |
| Palisades Medical Center | North Bergen | $1,537.41 | $196.80 – $3,535.83 |
| Raritan Bay Medical Center | Perth Amboy | $1,446.24 | $614.40 – $3,535.83 |
| Riverview Medical Center | Red Bank | $1,444.98 | $614.40 – $3,535.83 |