X-ray hip with pelvis when performed bilateral >= 5 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.
$781.00
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.
$75.13 with UNITED HEALTHCARE vs $713.99 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 | $75.13 | ↓ -35% |
| KARNA | MEDICARE ADVANTAGE | $114.18 | ↓ -2% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| AETNA | HMO | $126.06 | ↑ +8% |
| AETNA | PPO | $126.06 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $140.58 | ↑ +21% |
| AETNA | MANAGED MEDICAID | $144.49 | ↑ +24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $160.11 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $166.12 | ↑ +43% |
| CIGNA | HMO | $166.50 | ↑ +43% |
| CIGNA | PPO | $166.50 | ↑ +43% |
| AMERIHEALTH | REGIONAL HMO | $168.99 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $422.52 | ↑ +264% |
| HORIZON | PIP | $508.43 | ↑ +337% |
| HORIZON | WORKERS COMP | $524.75 | ↑ +352% |
| HORIZON | OMNIA | $563.96 | ↑ +385% |
| BERGEN RISK | ALL PRODUCTS | $585.75 | ↑ +404% |
| AETNA | ASA | $611.52 | ↑ +426% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $624.80 | ↑ +438% |
| CIGNA | BH | $624.80 | ↑ +438% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $663.85 | ↑ +471% |
| HORIZON | SHP | $670.41 | ↑ +477% |
| HORIZON | INDEMNITY | $695.09 | ↑ +498% |
| HORIZON | HMO | $695.56 | ↑ +498% |
| QUALCARE | HMO | $709.15 | ↑ +510% |
| QUALCARE | WORKERS COMP | $709.15 | ↑ +510% |
| QUALCARE | PPO | $709.15 | ↑ +510% |
| HORIZON | PPO | $713.99 | ↑ +514% |
| 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 >= 5 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $312.40 | $113.25 – $113.25 |
| Trinitas Regional Medical Center | Elizabeth | $163.86 | $32.30 – $244.70 |
| Cooperman Barnabas Medical Center | Livingston | $207.02 | $51.58 – $244.70 |
| Community Medical Center | Toms River | $181.06 | $51.58 – $244.70 |
| Clara Maass Medical Center | Belleville | $171.65 | $51.58 – $244.70 |
| Childrens Specialized Hospital | Mountainside | $222.00 | $31.45 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $203.50 | $33.25 – $244.70 |
| Jersey City Medical Center | Jersey City | $181.40 | $41.80 – $249.21 |