Pelvic CT scan (with contrast) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$194.55
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.
$3,245.00
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.
$194.55 with WELLCARE vs $2,966.58 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $194.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $212.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $233.47 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $432.90 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +123% |
| AETNA | HMO | $522.40 | ↑ +169% |
| AETNA | PPO | $522.40 | ↑ +169% |
| CIGNA | PPO | $540.43 | ↑ +178% |
| CIGNA | HMO | $540.43 | ↑ +178% |
| CLOVER | MEDICARE ADVANTAGE | $584.10 | ↑ +200% |
| AETNA | MANAGED MEDICAID | $600.33 | ↑ +209% |
| AMERIHEALTH | LOCAL HMO | $618.61 | ↑ +218% |
| AMERIHEALTH | REGIONAL HMO | $629.31 | ↑ +223% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $665.23 | ↑ +242% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +267% |
| OXFORD | ALL PRODUCTS | $1,755.55 | ↑ +802% |
| HORIZON | PIP | $2,112.50 | ↑ +986% |
| HORIZON | WORKERS COMP | $2,180.32 | ↑ +1021% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,239.05 | ↑ +1051% |
| HORIZON | OMNIA | $2,343.21 | ↑ +1104% |
| BERGEN RISK | ALL PRODUCTS | $2,433.75 | ↑ +1151% |
| AETNA | ASA | $2,540.84 | ↑ +1206% |
| CIGNA | BH | $2,596.00 | ↑ +1234% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,758.25 | ↑ +1318% |
| HORIZON | SHP | $2,785.51 | ↑ +1332% |
| HORIZON | INDEMNITY | $2,888.05 | ↑ +1384% |
| HORIZON | HMO | $2,890.00 | ↑ +1385% |
| QUALCARE | WORKERS COMP | $2,946.46 | ↑ +1415% |
| QUALCARE | PPO | $2,946.46 | ↑ +1415% |
| QUALCARE | HMO | $2,946.46 | ↑ +1415% |
| HORIZON | PPO | $2,966.58 | ↑ +1425% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $481.07 | $121.25 – $586.81 |
| Cooperman Barnabas Medical Center | Livingston | $543.09 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $531.56 | $194.55 – $726.00 |
| Clara Maass Medical Center | Belleville | $509.78 | $199.72 – $726.00 |
| Childrens Specialized Hospital | Mountainside | $1,077.50 | $164.09 – $164.09 |
| Newark Beth Israel Medical Center | Newark | $533.87 | $124.81 – $726.00 |
| Jersey City Medical Center | Jersey City | $532.59 | $156.91 – $704.00 |
| Monmouth Medical Center | Long Branch | $560.78 | $197.04 – $726.00 |