Esophagus motility study at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$579.88
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.
$2,096.00
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.
$375.75 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $375.75 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $377.28 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $387.76 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $429.68 | ↓ -26% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $579.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $579.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $608.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $632.07 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $695.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +105% |
| HORIZON | PIP | $1,364.50 | ↑ +135% |
| HORIZON | WORKERS COMP | $1,408.30 | ↑ +143% |
| HORIZON | OMNIA | $1,513.52 | ↑ +161% |
| BERGEN RISK | ALL PRODUCTS | $1,572.00 | ↑ +171% |
| AETNA | ASA | $1,641.17 | ↑ +183% |
| CIGNA | BH | $1,676.80 | ↑ +189% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +190% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,781.60 | ↑ +207% |
| HORIZON | SHP | $1,799.21 | ↑ +210% |
| AMERIHEALTH | LOCAL HMO | $1,820.17 | ↑ +214% |
| HORIZON | INDEMNITY | $1,865.44 | ↑ +222% |
| HORIZON | HMO | $1,866.70 | ↑ +222% |
| QUALCARE | PPO | $1,903.17 | ↑ +228% |
| QUALCARE | WORKERS COMP | $1,903.17 | ↑ +228% |
| QUALCARE | HMO | $1,903.17 | ↑ +228% |
| HORIZON | PPO | $1,916.16 | ↑ +230% |
| CIGNA | HMO | $2,004.40 | ↑ +246% |
| CIGNA | PPO | $2,004.40 | ↑ +246% |
| AMERIHEALTH | REGIONAL HMO | $2,061.63 | ↑ +256% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +389% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +478% |
| AETNA | PPO | $9,383.00 | ↑ +1518% |
| AETNA | HMO | $9,383.00 | ↑ +1518% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1613% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Esophagus motility study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |
| Hackensack University Medical Center | Hackensack | $624.87 | $395.09 – $656.11 |
| Ocean University Medical Center | Brick | $579.88 | $375.75 – $695.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $395.09 – $587.81 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $375.75 – $704.76 |
| Palisades Medical Center | North Bergen | $624.87 | $395.09 – $681.10 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $395.09 – $705.37 |
| Riverview Medical Center | Red Bank | $587.30 | $375.75 – $704.76 |