Gi trc img intral colon i&r at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$996.39
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.
$4,283.00
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.
$770.94 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $770.94 | ↓ -23% |
| AETNA | MANAGED MEDICAID | $792.36 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $878.02 | ↓ -12% |
| VACCN | ALL PRODUCTS | $996.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $996.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $996.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $996.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,046.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,086.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,195.67 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,529.04 | ↑ +53% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,522.69 | ↑ +153% |
| HORIZON | PIP | $2,788.23 | ↑ +180% |
| HORIZON | WORKERS COMP | $2,877.75 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $3,044.78 | ↑ +206% |
| HORIZON | OMNIA | $3,092.75 | ↑ +210% |
| BERGEN RISK | ALL PRODUCTS | $3,212.25 | ↑ +222% |
| UNITED HEALTHCARE | HMO | $3,327.03 | ↑ +234% |
| AETNA | ASA | $3,353.59 | ↑ +237% |
| CIGNA | BH | $3,426.40 | ↑ +244% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,640.55 | ↑ +265% |
| HORIZON | SHP | $3,676.53 | ↑ +269% |
| AMERIHEALTH | LOCAL HMO | $3,719.36 | ↑ +273% |
| HORIZON | INDEMNITY | $3,811.87 | ↑ +283% |
| HORIZON | HMO | $3,814.44 | ↑ +283% |
| QUALCARE | PPO | $3,888.96 | ↑ +290% |
| QUALCARE | WORKERS COMP | $3,888.96 | ↑ +290% |
| QUALCARE | HMO | $3,888.96 | ↑ +290% |
| HORIZON | PPO | $3,915.52 | ↑ +293% |
| CIGNA | PPO | $4,095.83 | ↑ +311% |
| CIGNA | HMO | $4,095.83 | ↑ +311% |
| AMERIHEALTH | REGIONAL HMO | $4,212.76 | ↑ +323% |
| AETNA | PPO | $9,383.00 | ↑ +842% |
| AETNA | HMO | $9,383.00 | ↑ +842% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +897% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gi trc img intral colon i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |
| Hackensack University Medical Center | Hackensack | $1,073.68 | $858.95 – $1,614.75 |
| Ocean University Medical Center | Brick | $996.39 | $911.71 – $1,529.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,010.01 | $911.71 – $1,614.75 |
| Jersey Shore University Medical Center | Neptune City | $1,009.14 | $1,009.14 – $1,529.04 |
| Palisades Medical Center | North Bergen | $1,073.68 | $1,073.68 – $1,614.75 |
| Raritan Bay Medical Center | Perth Amboy | $1,010.01 | $1,010.01 – $1,614.75 |
| Riverview Medical Center | Red Bank | $1,009.14 | $1,009.14 – $1,529.04 |