X-ray exam entire spi 6/> vw at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$116.22
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.
$523.00
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.
$94.14 with CLOVER vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $94.14 | ↓ -19% |
| AETNA | MANAGED MEDICAID | $96.76 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $107.22 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $119.35 | ↑ +3% |
| AMERIHEALTH | REGIONAL HMO | $121.41 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $182.02 | ↑ +57% |
| AETNA | PPO | $186.94 | ↑ +61% |
| AETNA | HMO | $186.94 | ↑ +61% |
| CIGNA | PPO | $278.87 | ↑ +140% |
| CIGNA | HMO | $278.87 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $282.94 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| HORIZON | PIP | $340.47 | ↑ +193% |
| HORIZON | WORKERS COMP | $351.40 | ↑ +202% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $360.87 | ↑ +211% |
| HORIZON | OMNIA | $377.66 | ↑ +225% |
| AETNA | ASA | $409.51 | ↑ +252% |
| CIGNA | BH | $418.40 | ↑ +260% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $444.55 | ↑ +283% |
| HORIZON | SHP | $448.94 | ↑ +286% |
| HORIZON | INDEMNITY | $465.47 | ↑ +301% |
| HORIZON | HMO | $465.78 | ↑ +301% |
| QUALCARE | WORKERS COMP | $474.88 | ↑ +309% |
| QUALCARE | HMO | $474.88 | ↑ +309% |
| QUALCARE | PPO | $474.88 | ↑ +309% |
| HORIZON | PPO | $478.13 | ↑ +311% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +718% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +3627% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam entire spi 6/> vw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.92 | $51.50 – $411.24 |
| Community Medical Center | Toms River | $180.02 | $73.75 – $411.24 |
| Childrens Specialized Hospital | Mountainside | $242.50 | $44.97 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $208.71 | $53.01 – $411.24 |
| Jersey City Medical Center | Jersey City | $180.37 | $66.65 – $411.24 |
| Monmouth Medical Center | Long Branch | $189.91 | $73.75 – $411.24 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $66.86 – $4,332.00 |