Ultrasound hips infant dynamic at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$96.23
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.
$685.00
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.
$96.23 with HORIZON BCBS BRAVEN vs $626.23 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $96.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $96.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $101.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $104.89 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $123.30 | ↑ +28% |
| AETNA | MANAGED MEDICAID | $126.73 | ↑ +32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $140.43 | ↑ +46% |
| AETNA | PPO | $184.72 | ↑ +92% |
| AETNA | HMO | $184.72 | ↑ +92% |
| AMERIHEALTH | LOCAL HMO | $204.88 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $208.42 | ↑ +117% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| KARNA | MEDICARE ADVANTAGE | $249.64 | ↑ +159% |
| OXFORD | ALL PRODUCTS | $370.59 | ↑ +285% |
| CIGNA | HMO | $388.80 | ↑ +304% |
| CIGNA | PPO | $388.80 | ↑ +304% |
| HORIZON | PIP | $445.94 | ↑ +363% |
| HORIZON | WORKERS COMP | $460.25 | ↑ +378% |
| HORIZON | OMNIA | $494.64 | ↑ +414% |
| BERGEN RISK | ALL PRODUCTS | $513.75 | ↑ +434% |
| AETNA | ASA | $536.36 | ↑ +457% |
| CIGNA | BH | $548.00 | ↑ +469% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $582.25 | ↑ +505% |
| HORIZON | SHP | $588.00 | ↑ +511% |
| HORIZON | INDEMNITY | $609.65 | ↑ +534% |
| HORIZON | HMO | $610.06 | ↑ +534% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $616.50 | ↑ +541% |
| QUALCARE | WORKERS COMP | $621.98 | ↑ +546% |
| QUALCARE | HMO | $621.98 | ↑ +546% |
| QUALCARE | PPO | $621.98 | ↑ +546% |
| HORIZON | PPO | $626.23 | ↑ +551% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $198.21 | $63.96 – $525.85 |
| Cooperman Barnabas Medical Center | Livingston | $211.68 | $60.68 – $525.85 |
| Community Medical Center | Toms River | $219.01 | $60.68 – $525.85 |
| Clara Maass Medical Center | Belleville | $154.14 | $60.68 – $525.85 |
| Newark Beth Israel Medical Center | Newark | $208.09 | $60.68 – $525.85 |
| Jersey City Medical Center | Jersey City | $219.43 | $60.68 – $525.85 |
| Monmouth Medical Center | Long Branch | $231.05 | $60.68 – $525.85 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $388.80 |