Pet image w/ct lmtd at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,594.06
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.
$10,626.00
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.
$1,594.06 with HORIZON BCBS BRAVEN vs $9,714.29 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,594.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,594.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,594.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,594.06 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,644.98 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,673.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,737.53 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $1,912.68 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $1,912.88 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $1,965.81 | ↑ +23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,178.33 | ↑ +37% |
| KARNA | MEDICARE ADVANTAGE | $2,447.77 | ↑ +54% |
| AMERIHEALTH | LOCAL HMO | $3,528.64 | ↑ +121% |
| AMERIHEALTH | REGIONAL HMO | $3,589.68 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $4,008.02 | ↑ +151% |
| CIGNA | PPO | $4,009.56 | ↑ +152% |
| CIGNA | HMO | $4,009.56 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $5,748.67 | ↑ +261% |
| HORIZON | PIP | $6,917.53 | ↑ +334% |
| HORIZON | WORKERS COMP | $7,139.61 | ↑ +348% |
| HORIZON | OMNIA | $7,673.03 | ↑ +381% |
| BERGEN RISK | ALL PRODUCTS | $7,969.50 | ↑ +400% |
| AETNA | ASA | $8,320.16 | ↑ +422% |
| CIGNA | BH | $8,500.80 | ↑ +433% |
| AETNA | HMO | $8,649.56 | ↑ +443% |
| AETNA | PPO | $8,649.56 | ↑ +443% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,032.10 | ↑ +467% |
| HORIZON | SHP | $9,121.36 | ↑ +472% |
| HORIZON | INDEMNITY | $9,457.14 | ↑ +493% |
| HORIZON | HMO | $9,463.52 | ↑ +494% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,563.40 | ↑ +500% |
| QUALCARE | WORKERS COMP | $9,648.41 | ↑ +505% |
| QUALCARE | HMO | $9,648.41 | ↑ +505% |
| QUALCARE | PPO | $9,648.41 | ↑ +505% |
| HORIZON | PPO | $9,714.29 | ↑ +509% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,614.45 | $1,614.45 – $4,009.56 |
| Hackensack University Medical Center | Hackensack | $1,717.72 | $1,374.18 – $6,637.00 |
| Ocean University Medical Center | Brick | $1,594.06 | $1,458.59 – $4,009.56 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,615.86 | $1,458.59 – $4,244.87 |
| Jersey Shore University Medical Center | Neptune City | $1,614.45 | $1,614.45 – $4,548.34 |
| Palisades Medical Center | North Bergen | $1,717.72 | $1,717.72 – $4,009.56 |
| Raritan Bay Medical Center | Perth Amboy | $1,615.86 | $1,615.86 – $4,009.56 |
| Riverview Medical Center | Red Bank | $1,614.45 | $1,614.45 – $4,009.56 |