Leg Vein Ultrasound (DVT study, both legs) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$264.17
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.
$2,682.00
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.
$264.17 with VACCN vs $2,638.02 with AMERIHEALTH — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $264.17 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $277.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $287.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $319.17 | ↑ +21% |
| CLOVER | MEDICARE ADVANTAGE | $482.76 | ↑ +83% |
| AETNA | MANAGED MEDICAID | $496.17 | ↑ +88% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $549.81 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $1,114.00 | ↑ +322% |
| UNITED HEALTHCARE | HMO | $1,263.00 | ↑ +378% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,579.70 | ↑ +498% |
| HORIZON | MANAGED MEDICAID | $1,699.85 | ↑ +543% |
| HORIZON | PIP | $1,745.98 | ↑ +561% |
| HORIZON | WORKERS COMP | $1,802.04 | ↑ +582% |
| HORIZON | OMNIA | $1,936.67 | ↑ +633% |
| BERGEN RISK | ALL PRODUCTS | $2,011.50 | ↑ +661% |
| AETNA | ASA | $2,100.01 | ↑ +695% |
| CIGNA | BH | $2,145.60 | ↑ +712% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,279.70 | ↑ +763% |
| HORIZON | SHP | $2,302.23 | ↑ +771% |
| AMERIHEALTH | LOCAL HMO | $2,329.05 | ↑ +782% |
| HORIZON | INDEMNITY | $2,386.98 | ↑ +804% |
| HORIZON | HMO | $2,388.59 | ↑ +804% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,413.80 | ↑ +814% |
| AETNA | HMO | $2,414.34 | ↑ +814% |
| AETNA | PPO | $2,414.34 | ↑ +814% |
| QUALCARE | PPO | $2,435.26 | ↑ +822% |
| QUALCARE | HMO | $2,435.26 | ↑ +822% |
| QUALCARE | WORKERS COMP | $2,435.26 | ↑ +822% |
| HORIZON | PPO | $2,451.88 | ↑ +828% |
| CIGNA | PPO | $2,564.80 | ↑ +871% |
| CIGNA | HMO | $2,564.80 | ↑ +871% |
| AMERIHEALTH | REGIONAL HMO | $2,638.02 | ↑ +899% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $378.77 | $97.68 – $805.30 |
| Cooperman Barnabas Medical Center | Livingston | $634.00 | $271.19 – $805.30 |
| Community Medical Center | Toms River | $418.53 | $264.17 – $805.30 |
| Clara Maass Medical Center | Belleville | $460.25 | $271.19 – $805.30 |
| Newark Beth Israel Medical Center | Newark | $623.23 | $100.55 – $805.30 |
| Jersey City Medical Center | Jersey City | $419.34 | $126.40 – $805.30 |
| Monmouth Medical Center | Long Branch | $441.53 | $267.55 – $805.30 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |