CT lower extremity without contrast (both sides) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
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.
$2,860.00
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.
$116.22 with WELLCARE vs $2,614.61 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $243.12 | ↑ +109% |
| CIGNA | HMO | $255.74 | ↑ +120% |
| CIGNA | PPO | $255.74 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +128% |
| AETNA | HMO | $347.47 | ↑ +199% |
| AETNA | PPO | $347.47 | ↑ +199% |
| AMERIHEALTH | LOCAL HMO | $473.40 | ↑ +307% |
| AMERIHEALTH | REGIONAL HMO | $481.59 | ↑ +314% |
| CLOVER | MEDICARE ADVANTAGE | $514.80 | ↑ +343% |
| AETNA | MANAGED MEDICAID | $529.10 | ↑ +355% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $586.30 | ↑ +404% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| OXFORD | ALL PRODUCTS | $1,547.26 | ↑ +1231% |
| HORIZON | PIP | $1,861.86 | ↑ +1502% |
| HORIZON | WORKERS COMP | $1,921.63 | ↑ +1553% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,973.40 | ↑ +1598% |
| HORIZON | OMNIA | $2,065.21 | ↑ +1677% |
| BERGEN RISK | ALL PRODUCTS | $2,145.00 | ↑ +1746% |
| AETNA | ASA | $2,239.38 | ↑ +1827% |
| CIGNA | BH | $2,288.00 | ↑ +1869% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,431.00 | ↑ +1992% |
| HORIZON | SHP | $2,455.02 | ↑ +2012% |
| HORIZON | INDEMNITY | $2,545.40 | ↑ +2090% |
| HORIZON | HMO | $2,547.12 | ↑ +2092% |
| QUALCARE | WORKERS COMP | $2,596.88 | ↑ +2134% |
| QUALCARE | PPO | $2,596.88 | ↑ +2134% |
| QUALCARE | HMO | $2,596.88 | ↑ +2134% |
| HORIZON | PPO | $2,614.61 | ↑ +2150% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT lower extremity without contrast (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $1,699.92 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,762.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $423.32 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $2,083.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,752.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $1,762.00 |