Vein x-ray adrenal glands at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,907.78
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.
$12,639.00
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.
$289.66 with KARNA vs $12,915.78 with UNITED HEALTHCARE — 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 | $289.66 | ↓ -95% |
| AETNA | PPO | $330.71 | ↓ -94% |
| AETNA | HMO | $330.71 | ↓ -94% |
| CIGNA | HMO | $335.48 | ↓ -94% |
| CIGNA | PPO | $335.48 | ↓ -94% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $2,275.02 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $2,338.22 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,591.00 | ↓ -56% |
| WELLCARE | MANAGED MEDICAID | $5,907.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,907.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,907.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,907.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,203.17 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,439.48 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $6,837.70 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $7,089.34 | ↑ +20% |
| HORIZON | PIP | $8,227.99 | ↑ +39% |
| HORIZON | WORKERS COMP | $8,492.14 | ↑ +44% |
| HORIZON | OMNIA | $9,126.62 | ↑ +54% |
| BERGEN RISK | ALL PRODUCTS | $9,479.25 | ↑ +60% |
| AETNA | ASA | $9,896.34 | ↑ +68% |
| CIGNA | BH | $10,111.20 | ↑ +71% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,111.20 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,743.15 | ↑ +82% |
| HORIZON | SHP | $10,849.32 | ↑ +84% |
| AMERIHEALTH | LOCAL HMO | $10,975.71 | ↑ +86% |
| HORIZON | INDEMNITY | $11,248.71 | ↑ +90% |
| HORIZON | HMO | $11,256.29 | ↑ +91% |
| QUALCARE | PPO | $11,476.21 | ↑ +94% |
| QUALCARE | HMO | $11,476.21 | ↑ +94% |
| QUALCARE | WORKERS COMP | $11,476.21 | ↑ +94% |
| HORIZON | PPO | $11,554.57 | ↑ +96% |
| AMERIHEALTH | REGIONAL HMO | $12,431.72 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $12,915.78 | ↑ +119% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray adrenal glands at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,777.14 | $81.95 – $11,815.56 |
| Cooperman Barnabas Medical Center | Livingston | $2,422.01 | $247.85 – $12,129.52 |
| Community Medical Center | Toms River | $1,963.66 | $227.38 – $11,756.48 |
| Newark Beth Israel Medical Center | Newark | $2,380.86 | $84.36 – $12,129.52 |
| Jersey City Medical Center | Jersey City | $1,967.45 | $106.05 – $12,668.50 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $298.09 – $12,915.78 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $269.84 – $14,752.37 |
| Ocean University Medical Center | Brick | $5,907.78 | $289.66 – $5,907.78 |