Pelvic Ultrasound (complete) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
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.
$1,293.00
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.
$115.03 with UNITED HEALTHCARE vs $1,182.06 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 | $115.03 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $184.98 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $188.18 | ↑ +62% |
| KARNA | MEDICARE ADVANTAGE | $193.42 | ↑ +66% |
| CLOVER | MEDICARE ADVANTAGE | $232.74 | ↑ +100% |
| AETNA | HMO | $237.87 | ↑ +105% |
| AETNA | PPO | $237.87 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $239.21 | ↑ +106% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $265.07 | ↑ +128% |
| CIGNA | PPO | $276.42 | ↑ +138% |
| CIGNA | HMO | $276.42 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $699.51 | ↑ +502% |
| HORIZON | PIP | $841.74 | ↑ +624% |
| HORIZON | WORKERS COMP | $868.77 | ↑ +648% |
| HORIZON | OMNIA | $933.68 | ↑ +703% |
| BERGEN RISK | ALL PRODUCTS | $969.75 | ↑ +734% |
| AETNA | ASA | $1,012.42 | ↑ +771% |
| CIGNA | BH | $1,034.40 | ↑ +790% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,099.05 | ↑ +846% |
| HORIZON | SHP | $1,109.91 | ↑ +855% |
| HORIZON | INDEMNITY | $1,150.77 | ↑ +890% |
| HORIZON | HMO | $1,151.55 | ↑ +891% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,163.70 | ↑ +901% |
| QUALCARE | PPO | $1,174.04 | ↑ +910% |
| QUALCARE | HMO | $1,174.04 | ↑ +910% |
| QUALCARE | WORKERS COMP | $1,174.04 | ↑ +910% |
| HORIZON | PPO | $1,182.06 | ↑ +917% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $213.60 | $54.72 – $381.91 |
| Cooperman Barnabas Medical Center | Livingston | $237.53 | $108.24 – $381.91 |
| Community Medical Center | Toms River | $236.02 | $108.24 – $381.91 |
| Clara Maass Medical Center | Belleville | $240.27 | $108.24 – $381.91 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $233.50 | $56.33 – $381.91 |
| Jersey City Medical Center | Jersey City | $236.47 | $70.82 – $381.91 |
| Monmouth Medical Center | Long Branch | $248.99 | $108.24 – $381.91 |