X-ray exam of teeth at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$264.17
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.
$275.00
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.
$31.34 with UNITED HEALTHCARE vs $623.08 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 | $31.34 | ↓ -88% |
| AMERIHEALTH | LOCAL HMO | $45.75 | ↓ -83% |
| AMERIHEALTH | REGIONAL HMO | $46.54 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $49.50 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $50.88 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $56.38 | ↓ -79% |
| KARNA | MEDICARE ADVANTAGE | $75.05 | ↓ -72% |
| AETNA | HMO | $87.29 | ↓ -67% |
| AETNA | PPO | $87.29 | ↓ -67% |
| CIGNA | HMO | $112.19 | ↓ -58% |
| CIGNA | PPO | $112.19 | ↓ -58% |
| OXFORD | ALL PRODUCTS | $148.78 | ↓ -44% |
| HORIZON | PIP | $179.03 | ↓ -32% |
| HORIZON | WORKERS COMP | $184.77 | ↓ -30% |
| HORIZON | OMNIA | $198.58 | ↓ -25% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↓ -22% |
| AETNA | ASA | $215.33 | ↓ -18% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $220.00 | ↓ -17% |
| CIGNA | BH | $220.00 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↓ -12% |
| HORIZON | SHP | $236.06 | ↓ -11% |
| HORIZON | INDEMNITY | $244.75 | ↓ -7% |
| HORIZON | HMO | $244.92 | ↓ -7% |
| QUALCARE | PPO | $249.70 | ↓ -5% |
| QUALCARE | WORKERS COMP | $249.70 | ↓ -5% |
| QUALCARE | HMO | $249.70 | ↓ -5% |
| HORIZON | PPO | $251.41 | ↓ -5% |
| VACCN | ALL PRODUCTS | $264.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $264.17 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $277.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $287.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +136% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of teeth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $31.34 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $18.39 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $31.34 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $40.91 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $31.34 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $20.29 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $27.83 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $17.32 – $623.08 |