Scan duplex abd/pelvis/retroperitoneal limited at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
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.
?
What you pay up front if you don't use insurance.
$1,914.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$116.22 with WELLCARE vs $1,882.61 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $270.14 | ↑ +132% |
| CLOVER | MEDICARE ADVANTAGE | $344.52 | ↑ +196% |
| AETNA | MANAGED MEDICAID | $354.09 | ↑ +205% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $392.37 | ↑ +238% |
| OXFORD | ALL PRODUCTS | $1,114.00 | ↑ +859% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,127.35 | ↑ +870% |
| HORIZON | MANAGED MEDICAID | $1,213.09 | ↑ +944% |
| HORIZON | PIP | $1,246.01 | ↑ +972% |
| UNITED HEALTHCARE | HMO | $1,263.00 | ↑ +987% |
| HORIZON | WORKERS COMP | $1,286.02 | ↑ +1007% |
| HORIZON | OMNIA | $1,382.10 | ↑ +1089% |
| BERGEN RISK | ALL PRODUCTS | $1,435.50 | ↑ +1135% |
| AETNA | ASA | $1,498.66 | ↑ +1190% |
| CIGNA | BH | $1,531.20 | ↑ +1218% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,626.90 | ↑ +1300% |
| HORIZON | SHP | $1,642.98 | ↑ +1314% |
| AMERIHEALTH | LOCAL HMO | $1,662.12 | ↑ +1330% |
| HORIZON | INDEMNITY | $1,703.46 | ↑ +1366% |
| HORIZON | HMO | $1,704.61 | ↑ +1367% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,722.60 | ↑ +1382% |
| AETNA | PPO | $1,722.98 | ↑ +1383% |
| AETNA | HMO | $1,722.98 | ↑ +1383% |
| QUALCARE | WORKERS COMP | $1,737.91 | ↑ +1395% |
| QUALCARE | PPO | $1,737.91 | ↑ +1395% |
| QUALCARE | HMO | $1,737.91 | ↑ +1395% |
| HORIZON | PPO | $1,749.78 | ↑ +1406% |
| CIGNA | PPO | $1,830.36 | ↑ +1475% |
| CIGNA | HMO | $1,830.36 | ↑ +1475% |
| AMERIHEALTH | REGIONAL HMO | $1,882.61 | ↑ +1520% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal limited at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $305.77 | $119.31 – $631.82 |
| Community Medical Center | Toms River | $227.10 | $116.22 – $631.82 |
| Clara Maass Medical Center | Belleville | $174.23 | $119.31 – $631.82 |
| Newark Beth Israel Medical Center | Newark | $300.57 | $77.15 – $631.82 |
| Jersey City Medical Center | Jersey City | $227.54 | $96.99 – $631.82 |
| Monmouth Medical Center | Long Branch | $239.58 | $117.70 – $631.82 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |