Nuclear Stress Test (Heart) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,426.73
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.
$6,381.00
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.
$696.53 with UNITED HEALTHCARE vs $5,833.51 with HORIZON — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $696.53 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $799.52 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $1,014.43 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $1,031.98 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $1,148.58 | ↓ -19% |
| AETNA | MANAGED MEDICAID | $1,180.49 | ↓ -17% |
| AETNA | HMO | $1,276.64 | ↓ -11% |
| AETNA | PPO | $1,276.64 | ↓ -11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,308.11 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,426.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,426.73 | ↑ +0% |
| CIGNA | PPO | $1,444.85 | ↑ +1% |
| CIGNA | HMO | $1,444.85 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,498.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,555.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,712.08 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $3,452.12 | ↑ +142% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +148% |
| HORIZON | PIP | $4,154.03 | ↑ +191% |
| HORIZON | WORKERS COMP | $4,287.39 | ↑ +201% |
| HORIZON | OMNIA | $4,607.72 | ↑ +223% |
| BERGEN RISK | ALL PRODUCTS | $4,785.75 | ↑ +235% |
| AETNA | ASA | $4,996.32 | ↑ +250% |
| CIGNA | BH | $5,104.80 | ↑ +258% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,423.85 | ↑ +280% |
| HORIZON | SHP | $5,477.45 | ↑ +284% |
| HORIZON | INDEMNITY | $5,679.09 | ↑ +298% |
| HORIZON | HMO | $5,682.92 | ↑ +298% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,742.90 | ↑ +303% |
| QUALCARE | PPO | $5,793.95 | ↑ +306% |
| QUALCARE | HMO | $5,793.95 | ↑ +306% |
| QUALCARE | WORKERS COMP | $5,793.95 | ↑ +306% |
| HORIZON | PPO | $5,833.51 | ↑ +309% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear Stress Test (Heart) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $920.48 | $226.21 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $1,009.49 | $275.52 – $2,929.28 |
| Community Medical Center | Toms River | $1,017.08 | $275.52 – $2,839.19 |
| Clara Maass Medical Center | Belleville | $1,533.71 | $275.52 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $992.34 | $232.86 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $1,019.05 | $275.52 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $1,072.99 | $275.52 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $696.53 – $3,535.83 |