Venogram extremity supervision & interpretation unilateral at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,697.72
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.
$3,733.00
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.
$71.75 with UNITED HEALTHCARE vs $3,807.12 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $71.75 | ↓ -96% |
| KARNA | MEDICARE ADVANTAGE | $196.37 | ↓ -88% |
| CIGNA | HMO | $243.08 | ↓ -86% |
| CIGNA | PPO | $243.08 | ↓ -86% |
| AETNA | PPO | $251.14 | ↓ -85% |
| AETNA | HMO | $251.14 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $671.94 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $690.61 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $765.27 | ↓ -55% |
| WELLCARE | MANAGED MEDICAID | $1,697.72 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,697.72 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,697.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,697.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,782.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,850.52 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $2,019.55 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,037.27 | ↑ +20% |
| HORIZON | PIP | $2,430.18 | ↑ +43% |
| HORIZON | WORKERS COMP | $2,508.20 | ↑ +48% |
| HORIZON | OMNIA | $2,695.60 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $2,799.75 | ↑ +65% |
| AETNA | ASA | $2,922.94 | ↑ +72% |
| CIGNA | BH | $2,986.40 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,986.40 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,173.05 | ↑ +87% |
| HORIZON | SHP | $3,204.41 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $3,241.74 | ↑ +91% |
| HORIZON | INDEMNITY | $3,322.37 | ↑ +96% |
| HORIZON | HMO | $3,324.61 | ↑ +96% |
| QUALCARE | PPO | $3,389.56 | ↑ +100% |
| QUALCARE | HMO | $3,389.56 | ↑ +100% |
| QUALCARE | WORKERS COMP | $3,389.56 | ↑ +100% |
| HORIZON | PPO | $3,412.71 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $3,671.78 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $3,807.12 | ↑ +124% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Venogram extremity supervision & interpretation unilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,719.44 | $71.75 – $3,807.12 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $93.13 – $4,348.49 |
| Ocean University Medical Center | Brick | $1,697.72 | $71.75 – $1,697.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,720.93 | $205.21 – $4,032.11 |
| Jersey Shore University Medical Center | Neptune City | $1,719.44 | $71.75 – $1,805.41 |
| Palisades Medical Center | North Bergen | $1,829.42 | $102.73 – $3,807.12 |
| Raritan Bay Medical Center | Perth Amboy | $1,720.93 | $71.75 – $3,807.12 |
| Riverview Medical Center | Red Bank | $1,719.44 | $71.75 – $3,807.12 |