Scan duplex lower extremity arteries complete bilateral 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.
$1,813.00
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 $1,783.27 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 | $326.34 | ↑ +24% |
| AETNA | MANAGED MEDICAID | $335.41 | ↑ +27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $371.67 | ↑ +41% |
| KARNA | MEDICARE ADVANTAGE | $410.54 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,067.86 | ↑ +304% |
| OXFORD | ALL PRODUCTS | $1,114.00 | ↑ +322% |
| HORIZON | MANAGED MEDICAID | $1,149.08 | ↑ +335% |
| HORIZON | PIP | $1,180.26 | ↑ +347% |
| HORIZON | WORKERS COMP | $1,218.15 | ↑ +361% |
| UNITED HEALTHCARE | HMO | $1,263.00 | ↑ +378% |
| HORIZON | OMNIA | $1,309.17 | ↑ +396% |
| BERGEN RISK | ALL PRODUCTS | $1,359.75 | ↑ +415% |
| AETNA | ASA | $1,419.58 | ↑ +437% |
| CIGNA | BH | $1,450.40 | ↑ +449% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,541.05 | ↑ +483% |
| HORIZON | SHP | $1,556.28 | ↑ +489% |
| AMERIHEALTH | LOCAL HMO | $1,574.41 | ↑ +496% |
| HORIZON | INDEMNITY | $1,613.57 | ↑ +511% |
| HORIZON | HMO | $1,614.66 | ↑ +511% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,631.70 | ↑ +518% |
| AETNA | PPO | $1,632.06 | ↑ +518% |
| AETNA | HMO | $1,632.06 | ↑ +518% |
| QUALCARE | WORKERS COMP | $1,646.20 | ↑ +523% |
| QUALCARE | PPO | $1,646.20 | ↑ +523% |
| QUALCARE | HMO | $1,646.20 | ↑ +523% |
| HORIZON | PPO | $1,657.44 | ↑ +527% |
| CIGNA | PPO | $1,733.77 | ↑ +556% |
| CIGNA | HMO | $1,733.77 | ↑ +556% |
| AMERIHEALTH | REGIONAL HMO | $1,783.27 | ↑ +575% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex lower extremity arteries complete bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $465.12 | $125.63 – $1,058.67 |
| Cooperman Barnabas Medical Center | Livingston | $568.31 | $271.19 – $1,058.67 |
| Community Medical Center | Toms River | $513.93 | $264.17 – $1,058.67 |
| Clara Maass Medical Center | Belleville | $362.19 | $271.19 – $1,058.67 |
| Newark Beth Israel Medical Center | Newark | $558.66 | $129.33 – $1,058.67 |
| Jersey City Medical Center | Jersey City | $514.92 | $162.58 – $1,058.67 |
| Monmouth Medical Center | Long Branch | $542.18 | $267.55 – $1,058.67 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |