Simple cystometrogram 51725 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$265.80
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.
$989.00
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.
$178.02 with CLOVER vs $8,077.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $178.02 | ↓ -33% |
| AETNA | MANAGED MEDICAID | $182.97 | ↓ -31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $202.75 | ↓ -24% |
| WELLCARE | MANAGED MEDICAID | $265.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $265.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $279.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $289.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $480.43 | ↑ +81% |
| HORIZON | PIP | $643.84 | ↑ +142% |
| HORIZON | WORKERS COMP | $664.51 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $703.08 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $768.26 | ↑ +189% |
| AETNA | ASA | $774.39 | ↑ +191% |
| CIGNA | BH | $791.20 | ↑ +198% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $840.65 | ↑ +216% |
| QUALCARE | PPO | $898.01 | ↑ +238% |
| QUALCARE | WORKERS COMP | $898.01 | ↑ +238% |
| QUALCARE | HMO | $898.01 | ↑ +238% |
| HORIZON | SHP | $7,264.00 | ↑ +2633% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +2860% |
| HORIZON | HMO | $7,869.00 | ↑ +2860% |
| HORIZON | PPO | $8,077.00 | ↑ +2939% |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Simple cystometrogram 51725 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $118.21 – $531.60 |
| Community Medical Center | Toms River | $3,786.00 | $74.95 – $528.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $74.95 – $542.99 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $74.95 – $545.72 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $74.95 – $569.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $74.95 – $535.71 |
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $368.00 |
| Hackensack University Medical Center | Hackensack | $286.42 | $67.94 – $504.02 |