Lower Back (Lumbar Spine) MRI (without contrast) 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.
$4,439.00
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 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 | $264.17 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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 | $360.39 | ↑ +36% |
| CIGNA | PPO | $393.77 | ↑ +49% |
| CIGNA | HMO | $393.77 | ↑ +49% |
| AETNA | HMO | $463.71 | ↑ +76% |
| AETNA | PPO | $463.71 | ↑ +76% |
| UNITED HEALTHCARE | HMO | $559.79 | ↑ +112% |
| CLOVER | MEDICARE ADVANTAGE | $799.02 | ↑ +202% |
| AETNA | MANAGED MEDICAID | $821.22 | ↑ +211% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $910.00 | ↑ +244% |
| AMERIHEALTH | LOCAL HMO | $944.81 | ↑ +258% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +260% |
| AMERIHEALTH | REGIONAL HMO | $961.16 | ↑ +264% |
| OXFORD | ALL PRODUCTS | $2,401.50 | ↑ +809% |
| HORIZON | PIP | $2,889.79 | ↑ +994% |
| HORIZON | WORKERS COMP | $2,982.56 | ↑ +1029% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,062.91 | ↑ +1059% |
| HORIZON | OMNIA | $3,205.40 | ↑ +1113% |
| AETNA | ASA | $3,475.74 | ↑ +1216% |
| CIGNA | BH | $3,551.20 | ↑ +1244% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,773.15 | ↑ +1328% |
| HORIZON | SHP | $3,810.44 | ↑ +1342% |
| HORIZON | INDEMNITY | $3,950.71 | ↑ +1396% |
| HORIZON | HMO | $3,953.37 | ↑ +1397% |
| QUALCARE | WORKERS COMP | $4,030.61 | ↑ +1426% |
| QUALCARE | PPO | $4,030.61 | ↑ +1426% |
| QUALCARE | HMO | $4,030.61 | ↑ +1426% |
| HORIZON | PPO | $4,058.13 | ↑ +1436% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1540% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $535.69 | $101.97 – $896.25 |
| Cooperman Barnabas Medical Center | Livingston | $604.76 | $271.19 – $2,072.00 |
| Community Medical Center | Toms River | $591.91 | $264.17 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $567.66 | $271.19 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $594.48 | $104.97 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $593.06 | $131.96 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $624.45 | $267.55 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |