Lymph vessel x-ray trunk at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,439.84
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.
$7,150.00
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.
$457.48 with UNITED HEALTHCARE vs $7,747.94 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $457.48 | ↓ -87% |
| KARNA | MEDICARE ADVANTAGE | $935.46 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,287.00 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $1,322.75 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,465.75 | ↓ -57% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,749.43 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $3,868.15 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | PIP | $4,654.65 | ↑ +35% |
| HORIZON | WORKERS COMP | $4,804.09 | ↑ +40% |
| HORIZON | OMNIA | $5,163.02 | ↑ +50% |
| BERGEN RISK | ALL PRODUCTS | $5,362.50 | ↑ +56% |
| AETNA | ASA | $5,598.45 | ↑ +63% |
| CIGNA | BH | $5,720.00 | ↑ +66% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,720.00 | ↑ +66% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,077.50 | ↑ +77% |
| HORIZON | SHP | $6,137.56 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $6,209.06 | ↑ +81% |
| HORIZON | INDEMNITY | $6,363.50 | ↑ +85% |
| HORIZON | HMO | $6,367.79 | ↑ +85% |
| AETNA | HMO | $6,436.43 | ↑ +87% |
| AETNA | PPO | $6,436.43 | ↑ +87% |
| QUALCARE | PPO | $6,492.20 | ↑ +89% |
| QUALCARE | WORKERS COMP | $6,492.20 | ↑ +89% |
| QUALCARE | HMO | $6,492.20 | ↑ +89% |
| HORIZON | PPO | $6,536.53 | ↑ +90% |
| CIGNA | HMO | $6,837.55 | ↑ +99% |
| CIGNA | PPO | $6,837.55 | ↑ +99% |
| AMERIHEALTH | REGIONAL HMO | $7,032.74 | ↑ +104% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +125% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lymph vessel x-ray trunk at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,547.02 | $96.59 – $6,879.68 |
| Community Medical Center | Toms River | $1,709.39 | $187.93 – $6,845.28 |
| Jersey City Medical Center | Jersey City | $1,712.68 | $125.00 – $7,376.29 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $457.48 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $170.36 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $457.48 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $955.21 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $457.48 – $3,797.39 |