Myelography via inj w/s&i lumbosacral 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.
$3,754.00
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.
$237.66 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $237.66 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $675.72 | ↓ -22% |
| AETNA | MANAGED MEDICAID | $694.49 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $769.57 | ↓ -11% |
| VACCN | ALL PRODUCTS | $863.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $863.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $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% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +38% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +94% |
| HORIZON | PIP | $2,443.85 | ↑ +183% |
| HORIZON | WORKERS COMP | $2,522.31 | ↑ +192% |
| HORIZON | OMNIA | $2,710.76 | ↑ +214% |
| BERGEN RISK | ALL PRODUCTS | $2,815.50 | ↑ +226% |
| AETNA | ASA | $2,939.38 | ↑ +240% |
| CIGNA | BH | $3,003.20 | ↑ +248% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,190.90 | ↑ +270% |
| HORIZON | SHP | $3,222.43 | ↑ +273% |
| AMERIHEALTH | LOCAL HMO | $3,259.97 | ↑ +278% |
| HORIZON | INDEMNITY | $3,341.06 | ↑ +287% |
| HORIZON | HMO | $3,343.31 | ↑ +287% |
| QUALCARE | HMO | $3,408.63 | ↑ +295% |
| QUALCARE | PPO | $3,408.63 | ↑ +295% |
| QUALCARE | WORKERS COMP | $3,408.63 | ↑ +295% |
| HORIZON | PPO | $3,431.91 | ↑ +297% |
| AMERIHEALTH | REGIONAL HMO | $3,692.43 | ↑ +328% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +378% |
| CIGNA | HMO | $4,412.00 | ↑ +411% |
| CIGNA | PPO | $4,941.00 | ↑ +472% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +477% |
| AETNA | PPO | $9,383.00 | ↑ +987% |
| AETNA | HMO | $9,383.00 | ↑ +987% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1050% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelography via inj w/s&i lumbosacral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $130.06 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $223.94 – $1,772.76 |
| Community Medical Center | Toms River | $3,786.00 | $223.94 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $223.94 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $133.89 – $1,772.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $168.31 – $1,851.54 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $223.94 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $874.49 – $1,049.38 |