X-ray exam si joints 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.
$385.00
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.
$38.52 with UNITED HEALTHCARE vs $351.97 with HORIZON — 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 | $38.52 | ↓ -67% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -50% |
| AMERIHEALTH | REGIONAL HMO | $58.68 | ↓ -50% |
| AETNA | HMO | $60.73 | ↓ -48% |
| AETNA | PPO | $60.73 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $61.37 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↓ -40% |
| AETNA | MANAGED MEDICAID | $71.23 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.93 | ↓ -32% |
| CIGNA | PPO | $88.71 | ↓ -24% |
| CIGNA | HMO | $88.71 | ↓ -24% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $208.29 | ↑ +79% |
| HORIZON | PIP | $250.64 | ↑ +116% |
| HORIZON | WORKERS COMP | $258.68 | ↑ +123% |
| HORIZON | OMNIA | $278.01 | ↑ +139% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +148% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| AETNA | ASA | $301.46 | ↑ +159% |
| CIGNA | BH | $308.00 | ↑ +165% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $308.00 | ↑ +165% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +182% |
| HORIZON | SHP | $330.48 | ↑ +184% |
| HORIZON | INDEMNITY | $342.65 | ↑ +195% |
| HORIZON | HMO | $342.88 | ↑ +195% |
| QUALCARE | WORKERS COMP | $349.58 | ↑ +201% |
| QUALCARE | HMO | $349.58 | ↑ +201% |
| QUALCARE | PPO | $349.58 | ↑ +201% |
| HORIZON | PPO | $351.97 | ↑ +203% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam si joints at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $66.25 | $17.36 – $232.44 |
| Community Medical Center | Toms River | $73.21 | $32.80 – $231.28 |
| Newark Beth Israel Medical Center | Newark | $74.98 | $17.87 – $238.62 |
| Jersey City Medical Center | Jersey City | $73.35 | $22.47 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $38.52 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $29.73 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $38.52 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $51.58 – $312.47 |