Eye Socket, Pituitary or Ear CT Scan (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.
$2,360.00
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 $2,157.51 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 | $265.07 | ↑ +128% |
| KARNA | MEDICARE ADVANTAGE | $298.49 | ↑ +157% |
| CIGNA | HMO | $305.59 | ↑ +163% |
| CIGNA | PPO | $305.59 | ↑ +163% |
| AETNA | PPO | $347.47 | ↑ +199% |
| AETNA | HMO | $347.47 | ↑ +199% |
| CLOVER | MEDICARE ADVANTAGE | $424.80 | ↑ +266% |
| AETNA | MANAGED MEDICAID | $436.60 | ↑ +276% |
| AMERIHEALTH | LOCAL HMO | $479.37 | ↑ +312% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $483.80 | ↑ +316% |
| AMERIHEALTH | REGIONAL HMO | $487.66 | ↑ +320% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| OXFORD | ALL PRODUCTS | $1,276.76 | ↑ +999% |
| HORIZON | PIP | $1,536.36 | ↑ +1222% |
| HORIZON | WORKERS COMP | $1,585.68 | ↑ +1264% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,628.40 | ↑ +1301% |
| HORIZON | OMNIA | $1,704.16 | ↑ +1366% |
| BERGEN RISK | ALL PRODUCTS | $1,770.00 | ↑ +1423% |
| AETNA | ASA | $1,847.88 | ↑ +1490% |
| CIGNA | BH | $1,888.00 | ↑ +1525% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,006.00 | ↑ +1626% |
| HORIZON | SHP | $2,025.82 | ↑ +1643% |
| HORIZON | INDEMNITY | $2,100.40 | ↑ +1707% |
| HORIZON | HMO | $2,101.82 | ↑ +1708% |
| QUALCARE | WORKERS COMP | $2,142.88 | ↑ +1744% |
| QUALCARE | PPO | $2,142.88 | ↑ +1744% |
| QUALCARE | HMO | $2,142.88 | ↑ +1744% |
| HORIZON | PPO | $2,157.51 | ↑ +1756% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Eye Socket, Pituitary or Ear CT Scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $377.84 | $84.46 – $454.73 |
| Cooperman Barnabas Medical Center | Livingston | $426.55 | $119.31 – $726.00 |
| Community Medical Center | Toms River | $417.49 | $116.22 – $726.00 |
| Clara Maass Medical Center | Belleville | $428.43 | $119.31 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $419.30 | $86.94 – $726.00 |
| Jersey City Medical Center | Jersey City | $418.30 | $109.30 – $704.00 |
| Monmouth Medical Center | Long Branch | $440.44 | $117.70 – $726.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |