CT lwr extremity w/o&w/dye at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$194.55
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.
$3,630.00
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.
$194.55 with WELLCARE vs $3,318.55 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 | $194.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $194.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $212.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $233.47 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $368.19 | ↑ +89% |
| CIGNA | PPO | $427.32 | ↑ +120% |
| CIGNA | HMO | $427.32 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +123% |
| CLOVER | MEDICARE ADVANTAGE | $653.40 | ↑ +236% |
| AETNA | HMO | $662.98 | ↑ +241% |
| AETNA | PPO | $662.98 | ↑ +241% |
| AETNA | MANAGED MEDICAID | $671.55 | ↑ +245% |
| AMERIHEALTH | LOCAL HMO | $698.17 | ↑ +259% |
| AMERIHEALTH | REGIONAL HMO | $710.25 | ↑ +265% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +267% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $744.15 | ↑ +282% |
| OXFORD | ALL PRODUCTS | $1,963.83 | ↑ +909% |
| HORIZON | PIP | $2,363.13 | ↑ +1115% |
| HORIZON | WORKERS COMP | $2,439.00 | ↑ +1154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,504.70 | ↑ +1187% |
| HORIZON | OMNIA | $2,621.22 | ↑ +1247% |
| BERGEN RISK | ALL PRODUCTS | $2,722.50 | ↑ +1299% |
| AETNA | ASA | $2,842.29 | ↑ +1361% |
| CIGNA | BH | $2,904.00 | ↑ +1393% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,085.50 | ↑ +1486% |
| HORIZON | SHP | $3,115.99 | ↑ +1502% |
| HORIZON | INDEMNITY | $3,230.70 | ↑ +1561% |
| HORIZON | HMO | $3,232.88 | ↑ +1562% |
| QUALCARE | WORKERS COMP | $3,296.04 | ↑ +1594% |
| QUALCARE | PPO | $3,296.04 | ↑ +1594% |
| QUALCARE | HMO | $3,296.04 | ↑ +1594% |
| HORIZON | PPO | $3,318.55 | ↑ +1606% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT lwr extremity w/o&w/dye at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,547.29 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $1,762.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $624.31 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $197.04 – $2,083.00 |
| Palisades Medical Center | North Bergen | $209.65 | $209.65 – $698.17 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $197.21 – $1,752.00 |
| Riverview Medical Center | Red Bank | $197.04 | $197.04 – $1,762.00 |