Diagnostic radio unlisted proc at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$96.23
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.
$246.00
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.
$24.60 with HORIZON vs $241.97 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 | MANAGED MEDICAID | $24.60 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $44.28 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $45.51 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $50.43 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $68.21 | ↓ -29% |
| WELLCARE | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $96.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $96.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $101.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $104.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $133.09 | ↑ +38% |
| HORIZON | PIP | $160.15 | ↑ +66% |
| HORIZON | WORKERS COMP | $165.29 | ↑ +72% |
| HORIZON | OMNIA | $177.64 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $184.50 | ↑ +92% |
| AETNA | ASA | $192.62 | ↑ +100% |
| CIGNA | BH | $196.80 | ↑ +105% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $196.80 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $209.10 | ↑ +117% |
| HORIZON | SHP | $211.17 | ↑ +119% |
| AMERIHEALTH | LOCAL HMO | $213.63 | ↑ +122% |
| HORIZON | INDEMNITY | $218.94 | ↑ +128% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| HORIZON | HMO | $219.09 | ↑ +128% |
| AETNA | HMO | $221.45 | ↑ +130% |
| AETNA | PPO | $221.45 | ↑ +130% |
| QUALCARE | WORKERS COMP | $223.37 | ↑ +132% |
| QUALCARE | HMO | $223.37 | ↑ +132% |
| QUALCARE | PPO | $223.37 | ↑ +132% |
| HORIZON | PPO | $224.89 | ↑ +134% |
| CIGNA | PPO | $235.25 | ↑ +144% |
| CIGNA | HMO | $235.25 | ↑ +144% |
| AMERIHEALTH | REGIONAL HMO | $241.97 | ↑ +151% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $68.21 – $5,610.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $82.95 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $68.21 – $5,610.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $68.21 – $106.23 |
| Palisades Medical Center | North Bergen | $103.69 | $103.69 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $68.21 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $68.21 – $5,610.00 |