Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$972.98
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.
$4,349.00
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.
$228.50 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $228.50 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $782.82 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $804.57 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $891.55 | ↓ -8% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -7% |
| AETNA | MEDICARE ADVANTAGE | $908.94 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $972.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $972.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,021.63 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $1,167.58 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +22% |
| QUALCARE | HMO | $1,525.00 | ↑ +57% |
| CIGNA | HMO | $2,249.00 | ↑ +131% |
| CIGNA | PPO | $2,518.00 | ↑ +159% |
| HORIZON | PIP | $2,831.20 | ↑ +191% |
| HORIZON | WORKERS COMP | $2,922.09 | ↑ +200% |
| HORIZON | OMNIA | $3,140.41 | ↑ +223% |
| BERGEN RISK | ALL PRODUCTS | $3,261.75 | ↑ +235% |
| AETNA | ASA | $3,405.27 | ↑ +250% |
| CIGNA | BH | $3,479.20 | ↑ +258% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,696.65 | ↑ +280% |
| HORIZON | SHP | $3,733.18 | ↑ +284% |
| AMERIHEALTH | LOCAL HMO | $3,776.67 | ↑ +288% |
| HORIZON | INDEMNITY | $3,870.61 | ↑ +298% |
| HORIZON | HMO | $3,873.22 | ↑ +298% |
| QUALCARE | PPO | $3,948.89 | ↑ +306% |
| QUALCARE | WORKERS COMP | $3,948.89 | ↑ +306% |
| HORIZON | PPO | $3,975.86 | ↑ +309% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +324% |
| AMERIHEALTH | REGIONAL HMO | $4,277.68 | ↑ +340% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +412% |
| AETNA | HMO | $9,383.00 | ↑ +864% |
| AETNA | PPO | $9,383.00 | ↑ +864% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +921% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |
| Hackensack University Medical Center | Hackensack | $1,048.46 | $236.04 – $1,100.88 |
| Ocean University Medical Center | Brick | $972.98 | $228.50 – $1,583.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $986.28 | $236.04 – $1,583.22 |
| Jersey Shore University Medical Center | Neptune City | $985.43 | $228.50 – $1,182.51 |
| Palisades Medical Center | North Bergen | $1,048.46 | $236.04 – $1,142.82 |
| Raritan Bay Medical Center | Perth Amboy | $986.28 | $236.04 – $1,456.08 |
| Riverview Medical Center | Red Bank | $985.43 | $228.50 – $1,182.51 |