Radiation physics consult at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$145.10
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.
$1,690.00
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.
$145.10 with WELLCARE vs $22,558.00 with QUALCARE — 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 | $145.10 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $145.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $145.10 | ↑ +0% |
| VACCN | ALL PRODUCTS | $145.10 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $152.36 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $158.16 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $165.42 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $174.12 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $304.20 | ↑ +110% |
| AETNA | MANAGED MEDICAID | $312.65 | ↑ +115% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $346.45 | ↑ +139% |
| AMERIHEALTH | LOCAL HMO | $491.62 | ↑ +239% |
| AMERIHEALTH | REGIONAL HMO | $537.76 | ↑ +271% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $895.70 | ↑ +517% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $995.41 | ↑ +586% |
| HORIZON | PIP | $1,100.19 | ↑ +658% |
| HORIZON | WORKERS COMP | $1,135.51 | ↑ +683% |
| HORIZON | OMNIA | $1,220.35 | ↑ +741% |
| CIGNA | PPO | $1,243.29 | ↑ +757% |
| CIGNA | HMO | $1,243.29 | ↑ +757% |
| BERGEN RISK | ALL PRODUCTS | $1,267.50 | ↑ +774% |
| AETNA | ASA | $1,323.27 | ↑ +812% |
| CIGNA | BH | $1,352.00 | ↑ +832% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,436.50 | ↑ +890% |
| HORIZON | SHP | $1,450.70 | ↑ +900% |
| HORIZON | INDEMNITY | $1,504.10 | ↑ +937% |
| HORIZON | HMO | $1,505.11 | ↑ +937% |
| AETNA | HMO | $1,543.98 | ↑ +964% |
| AETNA | PPO | $1,543.98 | ↑ +964% |
| HORIZON | PPO | $1,545.00 | ↑ +965% |
| OXFORD | ALL PRODUCTS | $2,703.00 | ↑ +1763% |
| UNITED HEALTHCARE | HMO | $2,759.00 | ↑ +1801% |
| QUALCARE | HMO | $21,431.00 | ↑ +14670% |
| QUALCARE | WORKERS COMP | $22,558.00 | ↑ +15447% |
| QUALCARE | PPO | $22,558.00 | ↑ +15447% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radiation physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $310.83 | $46.81 – $677.71 |
| Cooperman Barnabas Medical Center | Livingston | $355.78 | $86.36 – $297.92 |
| Community Medical Center | Toms River | $343.45 | $86.36 – $288.75 |
| Clara Maass Medical Center | Belleville | $324.40 | $86.36 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $349.73 | $48.18 – $297.92 |
| Jersey City Medical Center | Jersey City | $344.11 | $60.57 – $311.16 |
| Monmouth Medical Center | Long Branch | $362.33 | $86.36 – $292.45 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |