Radphm lcl tmr spect/ct 2+ areas/2+ days 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.
$3,419.00
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.
$596.73 with AMERIHEALTH vs $3,535.83 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -58% |
| AMERIHEALTH | REGIONAL HMO | $607.05 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $615.42 | ↓ -57% |
| AETNA | MANAGED MEDICAID | $632.52 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $700.90 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $1,203.71 | ↓ -16% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,203.76 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $1,426.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $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 | $1,849.68 | ↑ +30% |
| AETNA | PPO | $2,001.42 | ↑ +40% |
| AETNA | HMO | $2,001.42 | ↑ +40% |
| HORIZON | PIP | $2,225.77 | ↑ +56% |
| CIGNA | PPO | $2,272.85 | ↑ +59% |
| CIGNA | HMO | $2,272.85 | ↑ +59% |
| HORIZON | WORKERS COMP | $2,297.23 | ↑ +61% |
| HORIZON | OMNIA | $2,468.86 | ↑ +73% |
| BERGEN RISK | ALL PRODUCTS | $2,564.25 | ↑ +80% |
| AETNA | ASA | $2,677.08 | ↑ +88% |
| CIGNA | BH | $2,735.20 | ↑ +92% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,906.15 | ↑ +104% |
| HORIZON | SHP | $2,934.87 | ↑ +106% |
| HORIZON | INDEMNITY | $3,042.91 | ↑ +113% |
| HORIZON | HMO | $3,044.96 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,077.10 | ↑ +116% |
| QUALCARE | PPO | $3,104.45 | ↑ +118% |
| QUALCARE | HMO | $3,104.45 | ↑ +118% |
| QUALCARE | WORKERS COMP | $3,104.45 | ↑ +118% |
| HORIZON | PPO | $3,125.65 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +148% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $903.11 | $419.56 – $2,954.34 |
| Clara Maass Medical Center | Belleville | $1,126.96 | $420.38 – $2,954.34 |
| Newark Beth Israel Medical Center | Newark | $887.77 | $350.57 – $2,954.34 |
| Monmouth Medical Center | Long Branch | $1,297.04 | $419.56 – $2,954.34 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $596.73 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $489.75 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $596.73 – $3,535.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $533.60 – $3,744.78 |