Tc-99m exametazime diag at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$802.34
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.
$9,448.00
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.
$802.34 with WELLCARE vs $9,448.00 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 | $802.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $802.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $802.34 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $842.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $874.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $962.81 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,700.64 | ↑ +112% |
| AETNA | MANAGED MEDICAID | $1,747.88 | ↑ +118% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,936.84 | ↑ +141% |
| KARNA | MEDICARE ADVANTAGE | $2,810.36 | ↑ +250% |
| AMERIHEALTH | LOCAL HMO | $3,800.93 | ↑ +374% |
| OXFORD | ALL PRODUCTS | $5,111.37 | ↑ +537% |
| UNITED HEALTHCARE | HMO | $5,111.37 | ↑ +537% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,564.87 | ↑ +594% |
| HORIZON | PIP | $6,150.65 | ↑ +667% |
| HORIZON | WORKERS COMP | $6,348.11 | ↑ +691% |
| AETNA | HMO | $6,660.84 | ↑ +730% |
| AETNA | PPO | $6,660.84 | ↑ +730% |
| HORIZON | OMNIA | $6,822.40 | ↑ +750% |
| BERGEN RISK | ALL PRODUCTS | $7,086.00 | ↑ +783% |
| AETNA | ASA | $7,397.78 | ↑ +822% |
| CIGNA | BH | $7,558.40 | ↑ +842% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,030.80 | ↑ +901% |
| HORIZON | SHP | $8,110.16 | ↑ +911% |
| HORIZON | INDEMNITY | $8,408.72 | ↑ +948% |
| HORIZON | HMO | $8,414.39 | ↑ +949% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,503.20 | ↑ +960% |
| QUALCARE | HMO | $8,578.78 | ↑ +969% |
| QUALCARE | PPO | $8,578.78 | ↑ +969% |
| QUALCARE | WORKERS COMP | $8,578.78 | ↑ +969% |
| HORIZON | PPO | $8,637.36 | ↑ +977% |
| CIGNA | PPO | $9,035.12 | ↑ +1026% |
| CIGNA | HMO | $9,035.12 | ↑ +1026% |
| AMERIHEALTH | REGIONAL HMO | $9,448.00 | ↑ +1078% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $802.34 | $802.34 – $962.81 |
| Hackensack University Medical Center | Hackensack | $802.34 | $641.87 – $2,869.69 |
| Ocean University Medical Center | Brick | $802.34 | $0.01 – $2,810.36 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $802.34 | $0.01 – $2,869.69 |
| Jersey Shore University Medical Center | Neptune City | $802.34 | $802.34 – $2,810.36 |
| Palisades Medical Center | North Bergen | $802.34 | $802.34 – $2,869.69 |
| Raritan Bay Medical Center | Perth Amboy | $802.34 | $802.34 – $2,869.69 |
| Riverview Medical Center | Red Bank | $802.34 | $802.34 – $2,810.36 |