CT thorax low dose for lung screening without contrast 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.
$2,035.00
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 $1,860.40 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 | MANAGED MEDICAID | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $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% |
| UNITED HEALTHCARE | HMO | $196.79 | ↑ +69% |
| KARNA | MEDICARE ADVANTAGE | $258.30 | ↑ +122% |
| AETNA | HMO | $305.76 | ↑ +163% |
| AETNA | PPO | $305.76 | ↑ +163% |
| CIGNA | PPO | $345.56 | ↑ +197% |
| CIGNA | HMO | $345.56 | ↑ +197% |
| CLOVER | MEDICARE ADVANTAGE | $366.30 | ↑ +215% |
| AETNA | MANAGED MEDICAID | $376.48 | ↑ +224% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $417.18 | ↑ +259% |
| AMERIHEALTH | LOCAL HMO | $514.27 | ↑ +342% |
| AMERIHEALTH | REGIONAL HMO | $523.17 | ↑ +350% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| OXFORD | ALL PRODUCTS | $1,100.94 | ↑ +847% |
| HORIZON | PIP | $1,324.79 | ↑ +1040% |
| HORIZON | WORKERS COMP | $1,367.32 | ↑ +1076% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,404.15 | ↑ +1108% |
| HORIZON | OMNIA | $1,469.47 | ↑ +1164% |
| BERGEN RISK | ALL PRODUCTS | $1,526.25 | ↑ +1213% |
| AETNA | ASA | $1,593.41 | ↑ +1271% |
| CIGNA | BH | $1,628.00 | ↑ +1301% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,729.75 | ↑ +1388% |
| HORIZON | SHP | $1,746.84 | ↑ +1403% |
| HORIZON | INDEMNITY | $1,811.15 | ↑ +1458% |
| HORIZON | HMO | $1,812.37 | ↑ +1459% |
| QUALCARE | WORKERS COMP | $1,847.78 | ↑ +1490% |
| QUALCARE | PPO | $1,847.78 | ↑ +1490% |
| QUALCARE | HMO | $1,847.78 | ↑ +1490% |
| HORIZON | PPO | $1,860.40 | ↑ +1501% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT thorax low dose for lung screening without contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $515.56 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $459.87 |
| 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 – $2,083.00 |