Lumbar diskogram s&i at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,134.14
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.
$5,369.00
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.
$169.23 with AETNA vs $5,280.95 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 |
|---|---|---|---|
| AETNA | HMO | $169.23 | ↓ -92% |
| AETNA | PPO | $169.23 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $204.06 | ↓ -90% |
| CIGNA | HMO | $257.90 | ↓ -88% |
| CIGNA | PPO | $257.90 | ↓ -88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $587.99 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $966.42 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $993.27 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,100.65 | ↓ -48% |
| WELLCARE | MANAGED MEDICAID | $2,134.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,134.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,240.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,326.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,560.97 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,904.63 | ↑ +36% |
| HORIZON | PIP | $3,495.22 | ↑ +64% |
| HORIZON | WORKERS COMP | $3,607.43 | ↑ +69% |
| HORIZON | OMNIA | $3,876.95 | ↑ +82% |
| BERGEN RISK | ALL PRODUCTS | $4,026.75 | ↑ +89% |
| AETNA | ASA | $4,203.93 | ↑ +97% |
| CIGNA | BH | $4,295.20 | ↑ +101% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,295.20 | ↑ +101% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,563.65 | ↑ +114% |
| HORIZON | SHP | $4,608.75 | ↑ +116% |
| AMERIHEALTH | LOCAL HMO | $4,662.44 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $4,750.01 | ↑ +123% |
| HORIZON | INDEMNITY | $4,778.41 | ↑ +124% |
| HORIZON | HMO | $4,781.63 | ↑ +124% |
| QUALCARE | PPO | $4,875.05 | ↑ +128% |
| QUALCARE | HMO | $4,875.05 | ↑ +128% |
| QUALCARE | WORKERS COMP | $4,875.05 | ↑ +128% |
| HORIZON | PPO | $4,908.34 | ↑ +130% |
| AMERIHEALTH | REGIONAL HMO | $5,280.95 | ↑ +147% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $662.58 | $57.73 – $4,268.28 |
| Community Medical Center | Toms River | $732.12 | $82.00 – $4,246.94 |
| Clara Maass Medical Center | Belleville | $702.11 | $82.00 – $4,359.79 |
| Bayshore Medical Center | Holmdel | $2,161.44 | $152.54 – $4,750.01 |
| Hackensack University Medical Center | Hackensack | $2,299.70 | $74.34 – $5,425.45 |
| Ocean University Medical Center | Brick | $2,134.14 | $152.54 – $2,134.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $214.09 – $5,030.71 |
| Jersey Shore University Medical Center | Neptune City | $2,161.44 | $158.85 – $2,269.52 |