Kidney (Retroperitoneal) Ultrasound (complete) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
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.
?
What you pay up front if you don't use insurance.
$1,144.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$116.22 with WELLCARE vs $1,045.84 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.94 | ↑ +27% |
| KARNA | MEDICARE ADVANTAGE | $198.80 | ↑ +71% |
| CLOVER | MEDICARE ADVANTAGE | $205.92 | ↑ +77% |
| AETNA | MANAGED MEDICAID | $211.64 | ↑ +82% |
| AMERIHEALTH | LOCAL HMO | $220.79 | ↑ +90% |
| AMERIHEALTH | REGIONAL HMO | $224.61 | ↑ +93% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $234.52 | ↑ +102% |
| AETNA | HMO | $240.07 | ↑ +107% |
| AETNA | PPO | $240.07 | ↑ +107% |
| CIGNA | PPO | $278.87 | ↑ +140% |
| CIGNA | HMO | $278.87 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $618.90 | ↑ +433% |
| HORIZON | PIP | $744.74 | ↑ +541% |
| HORIZON | WORKERS COMP | $768.65 | ↑ +561% |
| HORIZON | OMNIA | $826.08 | ↑ +611% |
| BERGEN RISK | ALL PRODUCTS | $858.00 | ↑ +638% |
| AETNA | ASA | $895.75 | ↑ +671% |
| CIGNA | BH | $915.20 | ↑ +687% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $972.40 | ↑ +737% |
| HORIZON | SHP | $982.01 | ↑ +745% |
| HORIZON | INDEMNITY | $1,018.16 | ↑ +776% |
| HORIZON | HMO | $1,018.85 | ↑ +777% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,029.60 | ↑ +786% |
| QUALCARE | PPO | $1,038.75 | ↑ +794% |
| QUALCARE | HMO | $1,038.75 | ↑ +794% |
| QUALCARE | WORKERS COMP | $1,038.75 | ↑ +794% |
| HORIZON | PPO | $1,045.84 | ↑ +800% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Kidney (Retroperitoneal) Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $186.57 | $56.25 – $383.64 |
| Cooperman Barnabas Medical Center | Livingston | $210.62 | $108.24 – $383.64 |
| Community Medical Center | Toms River | $206.15 | $108.24 – $383.64 |
| Clara Maass Medical Center | Belleville | $254.19 | $108.24 – $383.64 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $207.05 | $57.91 – $383.64 |
| Jersey City Medical Center | Jersey City | $206.55 | $72.80 – $383.64 |
| Monmouth Medical Center | Long Branch | $217.48 | $108.24 – $383.64 |