Contrast x-ray of elbow at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$390.30
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.
$1,067.00
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.
$157.85 with UNITED HEALTHCARE vs $1,049.50 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $184.04 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $192.06 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $197.40 | ↓ -49% |
| AETNA | HMO | $207.97 | ↓ -47% |
| AETNA | PPO | $207.97 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $218.74 | ↓ -44% |
| CIGNA | PPO | $323.35 | ↓ -17% |
| CIGNA | HMO | $323.35 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $390.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $390.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $409.82 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $425.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $577.25 | ↑ +48% |
| HORIZON | PIP | $694.62 | ↑ +78% |
| HORIZON | WORKERS COMP | $716.92 | ↑ +84% |
| HORIZON | OMNIA | $770.48 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $800.25 | ↑ +105% |
| AETNA | ASA | $835.46 | ↑ +114% |
| CIGNA | BH | $853.60 | ↑ +119% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $853.60 | ↑ +119% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $906.95 | ↑ +132% |
| HORIZON | SHP | $915.91 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $926.58 | ↑ +137% |
| HORIZON | INDEMNITY | $949.63 | ↑ +143% |
| HORIZON | HMO | $950.27 | ↑ +143% |
| QUALCARE | PPO | $968.84 | ↑ +148% |
| QUALCARE | HMO | $968.84 | ↑ +148% |
| QUALCARE | WORKERS COMP | $968.84 | ↑ +148% |
| HORIZON | PPO | $975.45 | ↑ +150% |
| UNITED HEALTHCARE | HMO | $996.68 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $1,049.50 | ↑ +169% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $157.85 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $26.98 – $1,138.41 |
| Ocean University Medical Center | Brick | $390.30 | $157.85 – $390.30 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $193.58 – $1,055.58 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $157.85 – $1,131.05 |
| Palisades Medical Center | North Bergen | $420.58 | $29.77 – $996.68 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $40.84 – $996.68 |
| Riverview Medical Center | Red Bank | $395.29 | $25.41 – $996.68 |