Tc-99m bicisate at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$683.80
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.
$7,296.30
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.
$649.92 with KARNA vs $6,670.28 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $649.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $683.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $683.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $717.99 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $745.34 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $820.56 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,313.33 | ↑ +92% |
| AMERIHEALTH | LOCAL HMO | $2,122.49 | ↑ +210% |
| CIGNA | HMO | $2,298.33 | ↑ +236% |
| CIGNA | PPO | $2,298.33 | ↑ +236% |
| AMERIHEALTH | REGIONAL HMO | $2,321.68 | ↑ +240% |
| WELLCARE | MANAGED MEDICAID | $3,283.34 | ↑ +380% |
| WELLCARE | MEDICARE ADVANTAGE | $3,283.34 | ↑ +380% |
| QUALCARE | WORKERS COMP | $3,414.67 | ↑ +399% |
| QUALCARE | HMO | $3,414.67 | ↑ +399% |
| QUALCARE | PPO | $3,414.67 | ↑ +399% |
| AETNA | MANAGED MEDICAID | $3,575.19 | ↑ +423% |
| AMERIGROUP | MANAGED MEDICAID | $3,648.15 | ↑ +434% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,648.15 | ↑ +434% |
| UNITED HEALTHCARE | HMO | $3,947.30 | ↑ +477% |
| OXFORD | ALL PRODUCTS | $3,947.30 | ↑ +477% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $4,297.52 | ↑ +528% |
| BERGEN RISK | ALL PRODUCTS | $4,377.78 | ↑ +540% |
| HORIZON | MANAGED MEDICAID | $4,624.39 | ↑ +576% |
| HORIZON | PIP | $4,749.89 | ↑ +595% |
| HORIZON | WORKERS COMP | $4,902.38 | ↑ +617% |
| AETNA | PPO | $5,143.89 | ↑ +652% |
| AETNA | HMO | $5,143.89 | ↑ +652% |
| HORIZON | OMNIA | $5,268.66 | ↑ +670% |
| AETNA | ASA | $5,713.00 | ↑ +735% |
| CIGNA | BH | $5,837.04 | ↑ +754% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,201.86 | ↑ +807% |
| HORIZON | SHP | $6,263.14 | ↑ +816% |
| HORIZON | INDEMNITY | $6,493.71 | ↑ +850% |
| HORIZON | HMO | $6,498.08 | ↑ +850% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,566.67 | ↑ +860% |
| HORIZON | PPO | $6,670.28 | ↑ +875% |
Visitor-reported prices
Comments
Tc-99m bicisate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $683.80 | $683.80 – $820.56 |
| Hackensack University Medical Center | Hackensack | $683.80 | $547.04 – $717.99 |
| Ocean University Medical Center | Brick | $683.80 | $649.92 – $820.56 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $683.80 | $663.64 – $717.99 |
| Jersey Shore University Medical Center | Neptune City | $683.80 | $649.92 – $820.56 |
| Palisades Medical Center | North Bergen | $683.80 | $663.64 – $745.34 |
| Raritan Bay Medical Center | Perth Amboy | $683.80 | $663.64 – $820.56 |
| Riverview Medical Center | Red Bank | $683.80 | $649.92 – $820.56 |