X-ray hip with pelvis when performed bilateral 2 views 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.
$509.00
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.
$52.50 with UNITED HEALTHCARE vs $465.33 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 | $52.50 | ↓ -55% |
| KARNA | MEDICARE ADVANTAGE | $76.07 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $77.57 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $78.92 | ↓ -32% |
| AETNA | PPO | $87.29 | ↓ -25% |
| AETNA | HMO | $87.29 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $91.62 | ↓ -21% |
| AETNA | MANAGED MEDICAID | $94.17 | ↓ -19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $104.35 | ↓ -10% |
| CIGNA | HMO | $108.47 | ↓ -7% |
| CIGNA | PPO | $108.47 | ↓ -7% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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 | $275.37 | ↑ +137% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| HORIZON | PIP | $331.36 | ↑ +185% |
| HORIZON | WORKERS COMP | $342.00 | ↑ +194% |
| HORIZON | OMNIA | $367.55 | ↑ +216% |
| BERGEN RISK | ALL PRODUCTS | $381.75 | ↑ +228% |
| AETNA | ASA | $398.55 | ↑ +243% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $407.20 | ↑ +250% |
| CIGNA | BH | $407.20 | ↑ +250% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $432.65 | ↑ +272% |
| HORIZON | SHP | $436.93 | ↑ +276% |
| HORIZON | INDEMNITY | $453.01 | ↑ +290% |
| HORIZON | HMO | $453.32 | ↑ +290% |
| QUALCARE | HMO | $462.17 | ↑ +298% |
| QUALCARE | WORKERS COMP | $462.17 | ↑ +298% |
| QUALCARE | PPO | $462.17 | ↑ +298% |
| HORIZON | PPO | $465.33 | ↑ +300% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray hip with pelvis when performed bilateral 2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $85.02 | $21.52 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $118.24 | $36.00 – $238.62 |
| Community Medical Center | Toms River | $93.95 | $36.00 – $231.28 |
| Clara Maass Medical Center | Belleville | $128.88 | $36.00 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $202.00 | $21.95 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $116.23 | $22.16 – $238.62 |
| Jersey City Medical Center | Jersey City | $94.13 | $27.85 – $249.21 |
| Monmouth Medical Center | Long Branch | $99.11 | $36.00 – $234.22 |