Vital capacity test at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$170.99
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.
$264.00
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.
$43.31 with KARNA vs $818.00 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 | $43.31 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $47.52 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $48.84 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $54.12 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $155.50 | ↓ -9% |
| HORIZON | MANAGED MEDICAID | $167.32 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $170.99 | ↑ +0% |
| VACCN | ALL PRODUCTS | $170.99 | ↑ +0% |
| HORIZON | PIP | $171.86 | ↑ +1% |
| HORIZON | WORKERS COMP | $177.38 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $186.38 | ↑ +9% |
| HORIZON | OMNIA | $190.63 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $198.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| AETNA | ASA | $206.71 | ↑ +21% |
| CIGNA | BH | $211.20 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $224.40 | ↑ +31% |
| HORIZON | SHP | $226.62 | ↑ +33% |
| AMERIHEALTH | LOCAL HMO | $229.26 | ↑ +34% |
| HORIZON | INDEMNITY | $234.96 | ↑ +37% |
| HORIZON | HMO | $235.12 | ↑ +38% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $237.60 | ↑ +39% |
| AETNA | HMO | $237.65 | ↑ +39% |
| AETNA | PPO | $237.65 | ↑ +39% |
| QUALCARE | HMO | $239.71 | ↑ +40% |
| QUALCARE | WORKERS COMP | $239.71 | ↑ +40% |
| QUALCARE | PPO | $239.71 | ↑ +40% |
| HORIZON | PPO | $241.35 | ↑ +41% |
| CIGNA | HMO | $252.46 | ↑ +48% |
| CIGNA | PPO | $252.46 | ↑ +48% |
| AMERIHEALTH | REGIONAL HMO | $259.67 | ↑ +52% |
| OXFORD | ALL PRODUCTS | $392.00 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $818.00 | ↑ +378% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |