Pelvic MRI (with and without contrast) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$390.30
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.
?
What you pay up front if you don't use insurance.
$5,473.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$390.30 with WELLCARE vs $5,003.42 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $390.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $390.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $390.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $409.82 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $425.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $636.19 | ↑ +63% |
| CIGNA | HMO | $772.21 | ↑ +98% |
| CIGNA | PPO | $772.21 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +129% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +144% |
| CLOVER | MEDICARE ADVANTAGE | $985.14 | ↑ +152% |
| AETNA | MANAGED MEDICAID | $1,012.51 | ↑ +159% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,121.97 | ↑ +187% |
| AETNA | HMO | $1,221.92 | ↑ +213% |
| AETNA | PPO | $1,221.92 | ↑ +213% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +292% |
| AMERIHEALTH | REGIONAL HMO | $1,558.09 | ↑ +299% |
| OXFORD | ALL PRODUCTS | $2,960.89 | ↑ +659% |
| HORIZON | PIP | $3,562.92 | ↑ +813% |
| HORIZON | WORKERS COMP | $3,677.31 | ↑ +842% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,776.37 | ↑ +868% |
| HORIZON | OMNIA | $3,952.05 | ↑ +913% |
| AETNA | ASA | $4,285.36 | ↑ +998% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1010% |
| CIGNA | BH | $4,378.40 | ↑ +1022% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,652.05 | ↑ +1092% |
| HORIZON | SHP | $4,698.02 | ↑ +1104% |
| HORIZON | INDEMNITY | $4,870.97 | ↑ +1148% |
| HORIZON | HMO | $4,874.25 | ↑ +1149% |
| QUALCARE | WORKERS COMP | $4,969.48 | ↑ +1173% |
| QUALCARE | PPO | $4,969.48 | ↑ +1173% |
| QUALCARE | HMO | $4,969.48 | ↑ +1173% |
| HORIZON | PPO | $5,003.42 | ↑ +1182% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $954.07 | $179.99 – $1,452.87 |
| Cooperman Barnabas Medical Center | Livingston | $1,095.73 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $1,054.21 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $1,044.82 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $1,077.11 | $185.28 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $1,056.24 | $232.93 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $1,112.16 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |