Rp loclzj tum spect w/ct 2 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.
$5,814.00
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 $5,315.16 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -63% |
| AMERIHEALTH | REGIONAL HMO | $607.05 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $1,046.52 | ↓ -34% |
| AETNA | MANAGED MEDICAID | $1,075.59 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,191.87 | ↓ -25% |
| KARNA | MEDICARE ADVANTAGE | $1,521.37 | ↓ -5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,589.69 | ↓ -0% |
| VACCN | ALL PRODUCTS | $1,594.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,594.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,594.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,594.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,673.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,737.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,912.88 | ↑ +20% |
| AETNA | PPO | $2,643.08 | ↑ +66% |
| AETNA | HMO | $2,643.08 | ↑ +66% |
| CIGNA | PPO | $3,000.01 | ↑ +88% |
| CIGNA | HMO | $3,000.01 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $3,145.37 | ↑ +97% |
| HORIZON | PIP | $3,784.91 | ↑ +137% |
| HORIZON | WORKERS COMP | $3,906.43 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $4,008.02 | ↑ +151% |
| HORIZON | OMNIA | $4,198.29 | ↑ +163% |
| BERGEN RISK | ALL PRODUCTS | $4,360.50 | ↑ +174% |
| AETNA | ASA | $4,552.36 | ↑ +186% |
| CIGNA | BH | $4,651.20 | ↑ +192% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,941.90 | ↑ +210% |
| HORIZON | SHP | $4,990.74 | ↑ +213% |
| HORIZON | INDEMNITY | $5,174.46 | ↑ +225% |
| HORIZON | HMO | $5,177.95 | ↑ +225% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,232.60 | ↑ +228% |
| QUALCARE | WORKERS COMP | $5,279.11 | ↑ +231% |
| QUALCARE | HMO | $5,279.11 | ↑ +231% |
| QUALCARE | PPO | $5,279.11 | ↑ +231% |
| HORIZON | PPO | $5,315.16 | ↑ +233% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rp loclzj tum spect w/ct 2 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $956.09 | $419.56 – $3,787.62 |
| Clara Maass Medical Center | Belleville | $1,487.77 | $420.38 – $3,787.62 |
| Newark Beth Israel Medical Center | Newark | $939.84 | $419.56 – $3,787.62 |
| Bayshore Medical Center | Holmdel | $1,614.45 | $596.73 – $4,008.02 |
| Hackensack University Medical Center | Hackensack | $1,717.72 | $598.21 – $4,577.95 |
| Ocean University Medical Center | Brick | $1,594.06 | $596.73 – $4,008.02 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,615.86 | $533.60 – $4,244.87 |
| Jersey Shore University Medical Center | Neptune City | $1,614.45 | $586.42 – $4,548.34 |