Myelography l-s spine at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$863.44
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.
$1,983.00
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.
$158.16 with AETNA vs $1,950.48 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 | $158.16 | ↓ -82% |
| AETNA | PPO | $158.16 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $199.72 | ↓ -77% |
| CIGNA | HMO | $248.01 | ↓ -71% |
| CIGNA | PPO | $248.01 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $305.21 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $356.94 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $366.86 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $406.52 | ↓ -53% |
| WELLCARE | MANAGED MEDICAID | $863.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $863.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $863.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $863.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $906.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $941.15 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,036.13 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,072.80 | ↑ +24% |
| HORIZON | PIP | $1,290.93 | ↑ +50% |
| HORIZON | WORKERS COMP | $1,332.38 | ↑ +54% |
| HORIZON | OMNIA | $1,431.92 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $1,487.25 | ↑ +72% |
| AETNA | ASA | $1,552.69 | ↑ +80% |
| CIGNA | BH | $1,586.40 | ↑ +84% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,586.40 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,685.55 | ↑ +95% |
| HORIZON | SHP | $1,702.21 | ↑ +97% |
| AMERIHEALTH | LOCAL HMO | $1,722.04 | ↑ +99% |
| HORIZON | INDEMNITY | $1,764.87 | ↑ +104% |
| HORIZON | HMO | $1,766.06 | ↑ +105% |
| QUALCARE | PPO | $1,800.56 | ↑ +109% |
| QUALCARE | HMO | $1,800.56 | ↑ +109% |
| QUALCARE | WORKERS COMP | $1,800.56 | ↑ +109% |
| HORIZON | PPO | $1,812.86 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $1,936.35 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $1,950.48 | ↑ +126% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelography l-s spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $407.30 | $56.51 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $463.42 | $91.84 – $1,772.76 |
| Community Medical Center | Toms River | $450.05 | $91.84 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $337.53 | $91.84 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $455.55 | $58.17 – $1,772.76 |
| Monmouth Medical Center | Long Branch | $474.79 | $91.84 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $142.56 – $1,936.35 |
| Hackensack University Medical Center | Hackensack | $930.42 | $83.26 – $2,211.69 |