Parathyrd planar w/spect&ct at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$588.26
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.
$2,533.00
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.
$122.93 with UNITED HEALTHCARE vs $2,315.67 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 | $122.93 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $455.94 | ↓ -22% |
| AETNA | MANAGED MEDICAID | $468.61 | ↓ -20% |
| AMERIHEALTH | LOCAL HMO | $503.24 | ↓ -14% |
| AMERIHEALTH | REGIONAL HMO | $511.94 | ↓ -13% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $519.27 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $588.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $588.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $617.68 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $641.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $705.92 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $733.25 | ↑ +25% |
| AETNA | HMO | $1,092.08 | ↑ +86% |
| AETNA | PPO | $1,092.08 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +125% |
| CIGNA | PPO | $1,343.80 | ↑ +128% |
| CIGNA | HMO | $1,343.80 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $1,370.35 | ↑ +133% |
| HORIZON | PIP | $1,648.98 | ↑ +180% |
| HORIZON | WORKERS COMP | $1,701.92 | ↑ +189% |
| HORIZON | OMNIA | $1,829.08 | ↑ +211% |
| BERGEN RISK | ALL PRODUCTS | $1,899.75 | ↑ +223% |
| AETNA | ASA | $1,983.34 | ↑ +237% |
| CIGNA | BH | $2,026.40 | ↑ +244% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,153.05 | ↑ +266% |
| HORIZON | SHP | $2,174.33 | ↑ +270% |
| HORIZON | INDEMNITY | $2,254.37 | ↑ +283% |
| HORIZON | HMO | $2,255.89 | ↑ +283% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,279.70 | ↑ +288% |
| QUALCARE | PPO | $2,299.96 | ↑ +291% |
| QUALCARE | HMO | $2,299.96 | ↑ +291% |
| QUALCARE | WORKERS COMP | $2,299.96 | ↑ +291% |
| HORIZON | PPO | $2,315.67 | ↑ +294% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Parathyrd planar w/spect&ct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $637.99 | $85.54 – $1,693.97 |
| Cooperman Barnabas Medical Center | Livingston | $556.23 | $53.96 – $1,693.97 |
| Clara Maass Medical Center | Belleville | $559.90 | $53.96 – $1,693.97 |
| Jersey City Medical Center | Jersey City | $706.31 | $53.96 – $1,693.97 |
| Monmouth Medical Center | Long Branch | $743.70 | $53.96 – $1,693.97 |
| Bayshore Medical Center | Holmdel | $595.79 | $122.93 – $1,343.80 |
| Hackensack University Medical Center | Hackensack | $633.90 | $48.91 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $122.93 – $1,343.80 |