Radphm lcl tmr plnr bdy sgl day img at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,426.73
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.
$4,619.00
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.
$414.78 with UNITED HEALTHCARE vs $4,222.69 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 | $414.78 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $520.40 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -58% |
| AMERIHEALTH | REGIONAL HMO | $607.05 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $831.42 | ↓ -42% |
| AETNA | MANAGED MEDICAID | $854.52 | ↓ -40% |
| AETNA | PPO | $916.03 | ↓ -36% |
| AETNA | HMO | $916.03 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $946.90 | ↓ -34% |
| CIGNA | HMO | $1,000.69 | ↓ -30% |
| CIGNA | PPO | $1,000.69 | ↓ -30% |
| WELLCARE | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,426.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,426.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,426.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,498.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,555.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,712.08 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,498.88 | ↑ +75% |
| HORIZON | PIP | $3,006.97 | ↑ +111% |
| HORIZON | WORKERS COMP | $3,103.51 | ↑ +118% |
| HORIZON | OMNIA | $3,335.38 | ↑ +134% |
| BERGEN RISK | ALL PRODUCTS | $3,464.25 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +148% |
| AETNA | ASA | $3,616.68 | ↑ +153% |
| CIGNA | BH | $3,695.20 | ↑ +159% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,926.15 | ↑ +175% |
| HORIZON | SHP | $3,964.95 | ↑ +178% |
| HORIZON | INDEMNITY | $4,110.91 | ↑ +188% |
| HORIZON | HMO | $4,113.68 | ↑ +188% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,157.10 | ↑ +191% |
| QUALCARE | WORKERS COMP | $4,194.05 | ↑ +194% |
| QUALCARE | PPO | $4,194.05 | ↑ +194% |
| QUALCARE | HMO | $4,194.05 | ↑ +194% |
| HORIZON | PPO | $4,222.69 | ↑ +196% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tmr plnr bdy sgl day img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $714.01 | $147.24 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $544.79 | $98.40 – $2,929.28 |
| Community Medical Center | Toms River | $788.94 | $98.40 – $2,839.19 |
| Clara Maass Medical Center | Belleville | $607.44 | $98.40 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $535.53 | $98.40 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $790.47 | $98.40 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $832.31 | $98.40 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $414.78 – $3,535.83 |