Pregnancy Ultrasound (first trimester) 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.
$1,180.00
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.
$116.22 with WELLCARE vs $1,078.76 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 | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $198.91 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $202.35 | ↑ +74% |
| CLOVER | MEDICARE ADVANTAGE | $212.40 | ↑ +83% |
| KARNA | MEDICARE ADVANTAGE | $214.65 | ↑ +85% |
| AETNA | MANAGED MEDICAID | $218.30 | ↑ +88% |
| AETNA | PPO | $231.21 | ↑ +99% |
| AETNA | HMO | $231.21 | ↑ +99% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $241.90 | ↑ +108% |
| CIGNA | HMO | $266.53 | ↑ +129% |
| CIGNA | PPO | $266.53 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $638.38 | ↑ +449% |
| HORIZON | PIP | $768.18 | ↑ +561% |
| HORIZON | WORKERS COMP | $792.84 | ↑ +582% |
| HORIZON | OMNIA | $852.08 | ↑ +633% |
| BERGEN RISK | ALL PRODUCTS | $885.00 | ↑ +661% |
| AETNA | ASA | $923.94 | ↑ +695% |
| CIGNA | BH | $944.00 | ↑ +712% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,003.00 | ↑ +763% |
| HORIZON | SHP | $1,012.91 | ↑ +772% |
| HORIZON | INDEMNITY | $1,050.20 | ↑ +804% |
| HORIZON | HMO | $1,050.91 | ↑ +804% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,062.00 | ↑ +814% |
| QUALCARE | PPO | $1,071.44 | ↑ +822% |
| QUALCARE | HMO | $1,071.44 | ↑ +822% |
| QUALCARE | WORKERS COMP | $1,071.44 | ↑ +822% |
| HORIZON | PPO | $1,078.76 | ↑ +828% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pregnancy Ultrasound (first trimester) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $139.46 | $60.73 – $369.76 |
| Cooperman Barnabas Medical Center | Livingston | $157.44 | $90.20 – $369.76 |
| Community Medical Center | Toms River | $154.09 | $90.20 – $369.76 |
| Clara Maass Medical Center | Belleville | $147.78 | $90.20 – $369.76 |
| Newark Beth Israel Medical Center | Newark | $154.76 | $62.52 – $369.76 |
| Jersey City Medical Center | Jersey City | $154.39 | $78.59 – $369.76 |
| Monmouth Medical Center | Long Branch | $162.56 | $90.20 – $369.76 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |