Hc fl sm bowel enteroclss tube w kub double contrast at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$194.55
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.
$2,974.00
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.
$98.19 with UNITED HEALTHCARE vs $2,718.83 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $98.19 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $153.16 | ↓ -21% |
| AMERIHEALTH | REGIONAL HMO | $155.81 | ↓ -20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $194.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $212.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $233.47 | ↑ +20% |
| AETNA | PPO | $348.57 | ↑ +79% |
| AETNA | HMO | $348.57 | ↑ +79% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +148% |
| CLOVER | MEDICARE ADVANTAGE | $535.32 | ↑ +175% |
| AETNA | MANAGED MEDICAID | $550.19 | ↑ +183% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $609.67 | ↑ +213% |
| KARNA | MEDICARE ADVANTAGE | $669.80 | ↑ +244% |
| CIGNA | PPO | $1,269.24 | ↑ +552% |
| CIGNA | HMO | $1,269.24 | ↑ +552% |
| OXFORD | ALL PRODUCTS | $1,608.93 | ↑ +727% |
| HORIZON | PIP | $1,936.07 | ↑ +895% |
| HORIZON | WORKERS COMP | $1,998.23 | ↑ +927% |
| HORIZON | OMNIA | $2,147.53 | ↑ +1004% |
| BERGEN RISK | ALL PRODUCTS | $2,230.50 | ↑ +1046% |
| AETNA | ASA | $2,328.64 | ↑ +1097% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,379.20 | ↑ +1123% |
| CIGNA | BH | $2,379.20 | ↑ +1123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,527.90 | ↑ +1199% |
| HORIZON | SHP | $2,552.88 | ↑ +1212% |
| HORIZON | INDEMNITY | $2,646.86 | ↑ +1261% |
| HORIZON | HMO | $2,648.64 | ↑ +1261% |
| QUALCARE | HMO | $2,700.39 | ↑ +1288% |
| QUALCARE | WORKERS COMP | $2,700.39 | ↑ +1288% |
| QUALCARE | PPO | $2,700.39 | ↑ +1288% |
| HORIZON | PPO | $2,718.83 | ↑ +1297% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc fl sm bowel enteroclss tube w kub double contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $98.19 – $1,269.24 |
| Hackensack University Medical Center | Hackensack | $209.65 | $66.90 – $1,243.79 |
| Ocean University Medical Center | Brick | $194.55 | $98.19 – $1,269.24 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $136.96 – $1,303.56 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $98.19 – $1,269.24 |
| Palisades Medical Center | North Bergen | $209.65 | $73.80 – $1,269.24 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $98.19 – $1,269.24 |
| Riverview Medical Center | Red Bank | $197.04 | $63.00 – $1,269.24 |