Scan duplex abd/pelvis/retroperitoneal complete at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$264.17
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.
$1,925.00
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.
$264.17 with WELLCARE vs $1,893.43 with AMERIHEALTH — 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 | $264.17 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $277.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $287.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $346.50 | ↑ +31% |
| AETNA | MANAGED MEDICAID | $356.13 | ↑ +35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $394.63 | ↑ +49% |
| KARNA | MEDICARE ADVANTAGE | $450.59 | ↑ +71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,133.83 | ↑ +329% |
| HORIZON | MANAGED MEDICAID | $1,220.07 | ↑ +362% |
| HORIZON | PIP | $1,253.18 | ↑ +374% |
| HORIZON | WORKERS COMP | $1,293.41 | ↑ +390% |
| OXFORD | ALL PRODUCTS | $1,368.48 | ↑ +418% |
| HORIZON | OMNIA | $1,390.04 | ↑ +426% |
| BERGEN RISK | ALL PRODUCTS | $1,443.75 | ↑ +447% |
| UNITED HEALTHCARE | HMO | $1,495.34 | ↑ +466% |
| AETNA | ASA | $1,507.28 | ↑ +471% |
| CIGNA | BH | $1,540.00 | ↑ +483% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,636.25 | ↑ +519% |
| HORIZON | SHP | $1,652.42 | ↑ +526% |
| AMERIHEALTH | LOCAL HMO | $1,671.67 | ↑ +533% |
| HORIZON | INDEMNITY | $1,713.25 | ↑ +549% |
| HORIZON | HMO | $1,714.41 | ↑ +549% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,732.50 | ↑ +556% |
| AETNA | PPO | $1,732.89 | ↑ +556% |
| AETNA | HMO | $1,732.89 | ↑ +556% |
| QUALCARE | HMO | $1,747.90 | ↑ +562% |
| QUALCARE | WORKERS COMP | $1,747.90 | ↑ +562% |
| QUALCARE | PPO | $1,747.90 | ↑ +562% |
| HORIZON | PPO | $1,759.84 | ↑ +566% |
| CIGNA | HMO | $1,840.88 | ↑ +597% |
| CIGNA | PPO | $1,840.88 | ↑ +597% |
| AMERIHEALTH | REGIONAL HMO | $1,893.43 | ↑ +617% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal complete at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $481.07 | $137.89 – $1,095.15 |
| Cooperman Barnabas Medical Center | Livingston | $409.60 | $271.19 – $1,095.15 |
| Community Medical Center | Toms River | $531.56 | $264.17 – $1,095.15 |
| Clara Maass Medical Center | Belleville | $347.08 | $271.19 – $1,095.15 |
| Newark Beth Israel Medical Center | Newark | $402.64 | $141.95 – $1,095.15 |
| Jersey City Medical Center | Jersey City | $532.59 | $178.45 – $1,095.15 |
| Monmouth Medical Center | Long Branch | $560.78 | $267.55 – $1,095.15 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $321.06 |