Hc nm fusion spect CT unlisted at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$439.15
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.
$1,005.00
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.
$100.50 with HORIZON vs $1,021.05 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $100.50 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $133.47 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $180.90 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $185.93 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $206.03 | ↓ -53% |
| WELLCARE | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $439.15 | ↑ +0% |
| VACCN | ALL PRODUCTS | $439.15 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $461.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $478.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $526.98 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $543.71 | ↑ +24% |
| HORIZON | PIP | $654.26 | ↑ +49% |
| HORIZON | WORKERS COMP | $675.26 | ↑ +54% |
| HORIZON | OMNIA | $725.71 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $753.75 | ↑ +72% |
| AETNA | ASA | $786.92 | ↑ +79% |
| CIGNA | BH | $804.00 | ↑ +83% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $854.25 | ↑ +95% |
| HORIZON | SHP | $862.69 | ↑ +96% |
| AMERIHEALTH | LOCAL HMO | $872.74 | ↑ +99% |
| HORIZON | INDEMNITY | $894.45 | ↑ +104% |
| HORIZON | HMO | $895.05 | ↑ +104% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $904.50 | ↑ +106% |
| AETNA | PPO | $904.70 | ↑ +106% |
| AETNA | HMO | $904.70 | ↑ +106% |
| QUALCARE | HMO | $912.54 | ↑ +108% |
| QUALCARE | PPO | $912.54 | ↑ +108% |
| QUALCARE | WORKERS COMP | $912.54 | ↑ +108% |
| HORIZON | PPO | $918.77 | ↑ +109% |
| CIGNA | PPO | $961.08 | ↑ +119% |
| CIGNA | HMO | $961.08 | ↑ +119% |
| AMERIHEALTH | REGIONAL HMO | $988.52 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +133% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hc nm fusion spect CT unlisted at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $133.47 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $378.58 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $133.47 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $401.83 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $133.47 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $473.22 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $133.47 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $133.47 – $1,021.05 |