Ga-67 gallium 0.1 mci at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
$210.00
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.
$26.04 with CLOVER vs $200.82 with CIGNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $26.04 | — |
| AETNA | MEDICARE ADVANTAGE | $30.23 | — |
| AETNA | MANAGED MEDICAID | $38.85 | — |
| AMERIHEALTH | LOCAL HMO | $42.08 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $43.05 | — |
| AMERIHEALTH | REGIONAL HMO | $46.02 | — |
| WELLCARE | MANAGED MEDICAID | $65.09 | — |
| WELLCARE | MEDICARE ADVANTAGE | $65.09 | — |
| AMERIGROUP | MANAGED MEDICAID | $72.32 | — |
| UNITED HEALTHCARE | HMO | $78.25 | — |
| OXFORD | ALL PRODUCTS | $78.25 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $85.19 | — |
| BERGEN RISK | ALL PRODUCTS | $86.78 | — |
| HORIZON | MANAGED MEDICAID | $91.67 | — |
| HORIZON | PIP | $94.16 | — |
| HORIZON | WORKERS COMP | $97.18 | — |
| AETNA | HMO | $101.97 | — |
| AETNA | PPO | $101.97 | — |
| HORIZON | OMNIA | $104.44 | — |
| AETNA | ASA | $113.25 | — |
| CIGNA | BH | $115.71 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $122.94 | — |
| HORIZON | SHP | $124.16 | — |
| HORIZON | INDEMNITY | $128.73 | — |
| HORIZON | HMO | $128.82 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $130.18 | — |
| QUALCARE | HMO | $131.33 | — |
| HORIZON | PPO | $132.23 | — |
| KARNA | MEDICARE ADVANTAGE | $139.60 | — |
| QUALCARE | WORKERS COMP | $190.68 | — |
| QUALCARE | PPO | $190.68 | — |
| CIGNA | PPO | $200.82 | — |
| CIGNA | HMO | $200.82 | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ga-67 gallium 0.1 mci at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $142.55 – $142.55 |
| Ocean University Medical Center | Brick | not published | $0.01 – $139.60 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $0.01 – $142.55 |
| Jersey Shore University Medical Center | Neptune City | not published | $139.60 – $139.60 |
| Palisades Medical Center | North Bergen | not published | $142.55 – $142.55 |
| Raritan Bay Medical Center | Perth Amboy | not published | $142.55 – $142.55 |
| Riverview Medical Center | Red Bank | not published | $139.60 – $139.60 |