Lower Back (Lumbar Spine) MRI (with contrast) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$390.30
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.
$4,675.00
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.
$390.30 with WELLCARE vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $390.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $390.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $409.82 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $425.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $511.20 | ↑ +31% |
| CIGNA | HMO | $608.30 | ↑ +56% |
| CIGNA | PPO | $608.30 | ↑ +56% |
| AETNA | PPO | $721.51 | ↑ +85% |
| AETNA | HMO | $721.51 | ↑ +85% |
| CLOVER | MEDICARE ADVANTAGE | $841.50 | ↑ +116% |
| AETNA | MANAGED MEDICAID | $864.88 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +129% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +144% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $958.38 | ↑ +146% |
| AMERIHEALTH | LOCAL HMO | $1,094.00 | ↑ +180% |
| AMERIHEALTH | REGIONAL HMO | $1,112.92 | ↑ +185% |
| OXFORD | ALL PRODUCTS | $2,529.18 | ↑ +548% |
| HORIZON | PIP | $3,043.43 | ↑ +680% |
| HORIZON | WORKERS COMP | $3,141.13 | ↑ +705% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,225.75 | ↑ +726% |
| HORIZON | OMNIA | $3,375.82 | ↑ +765% |
| AETNA | ASA | $3,660.53 | ↑ +838% |
| CIGNA | BH | $3,740.00 | ↑ +858% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,973.75 | ↑ +918% |
| HORIZON | SHP | $4,013.02 | ↑ +928% |
| HORIZON | INDEMNITY | $4,160.75 | ↑ +966% |
| HORIZON | HMO | $4,163.56 | ↑ +967% |
| QUALCARE | WORKERS COMP | $4,244.90 | ↑ +988% |
| QUALCARE | PPO | $4,244.90 | ↑ +988% |
| QUALCARE | HMO | $4,244.90 | ↑ +988% |
| HORIZON | PPO | $4,273.89 | ↑ +995% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1010% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $629.92 | $144.63 – $1,037.77 |
| Cooperman Barnabas Medical Center | Livingston | $711.13 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $696.03 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $667.50 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $699.05 | $148.88 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $697.37 | $187.16 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $734.29 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |