Carotid Artery Ultrasound (Duplex) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$264.17
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.
$2,090.00
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.
$264.17 with HORIZON BCBS BRAVEN vs $2,055.72 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $264.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $277.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $287.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $323.98 | ↑ +23% |
| CLOVER | MEDICARE ADVANTAGE | $376.20 | ↑ +42% |
| AETNA | MANAGED MEDICAID | $386.65 | ↑ +46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $428.45 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $1,114.00 | ↑ +322% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,231.01 | ↑ +366% |
| UNITED HEALTHCARE | HMO | $1,263.00 | ↑ +378% |
| HORIZON | MANAGED MEDICAID | $1,324.64 | ↑ +401% |
| HORIZON | PIP | $1,360.59 | ↑ +415% |
| HORIZON | WORKERS COMP | $1,404.27 | ↑ +432% |
| HORIZON | OMNIA | $1,509.19 | ↑ +471% |
| BERGEN RISK | ALL PRODUCTS | $1,567.50 | ↑ +493% |
| AETNA | ASA | $1,636.47 | ↑ +519% |
| CIGNA | BH | $1,672.00 | ↑ +533% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,776.50 | ↑ +572% |
| HORIZON | SHP | $1,794.06 | ↑ +579% |
| AMERIHEALTH | LOCAL HMO | $1,814.96 | ↑ +587% |
| HORIZON | INDEMNITY | $1,860.10 | ↑ +604% |
| HORIZON | HMO | $1,861.35 | ↑ +605% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,881.00 | ↑ +612% |
| AETNA | HMO | $1,881.42 | ↑ +612% |
| AETNA | PPO | $1,881.42 | ↑ +612% |
| QUALCARE | PPO | $1,897.72 | ↑ +618% |
| QUALCARE | HMO | $1,897.72 | ↑ +618% |
| QUALCARE | WORKERS COMP | $1,897.72 | ↑ +618% |
| HORIZON | PPO | $1,910.68 | ↑ +623% |
| CIGNA | PPO | $1,998.67 | ↑ +657% |
| CIGNA | HMO | $1,998.67 | ↑ +657% |
| AMERIHEALTH | REGIONAL HMO | $2,055.72 | ↑ +678% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,324.00 |
| Ocean University Medical Center | Brick | $264.17 | $104.00 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $104.00 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $1,271.00 |
| Palisades Medical Center | North Bergen | $284.66 | $284.66 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $1,190.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $1,036.00 |