X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$390.30
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.
$1,375.00
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.
$143.06 with AETNA vs $1,257.03 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 |
|---|---|---|---|
| AETNA | HMO | $143.06 | ↓ -63% |
| AETNA | PPO | $143.06 | ↓ -63% |
| KARNA | MEDICARE ADVANTAGE | $143.20 | ↓ -63% |
| CIGNA | HMO | $187.50 | ↓ -52% |
| CIGNA | PPO | $187.50 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $196.39 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $226.76 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $230.68 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↓ -37% |
| AETNA | MANAGED MEDICAID | $254.38 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $281.88 | ↓ -28% |
| VACCN | ALL PRODUCTS | $390.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $390.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $409.82 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $425.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $743.88 | ↑ +91% |
| HORIZON | PIP | $895.13 | ↑ +129% |
| HORIZON | WORKERS COMP | $923.86 | ↑ +137% |
| HORIZON | OMNIA | $992.89 | ↑ +154% |
| UNITED HEALTHCARE | HMO | $996.68 | ↑ +155% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +164% |
| AETNA | ASA | $1,076.63 | ↑ +176% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,100.00 | ↑ +182% |
| CIGNA | BH | $1,100.00 | ↑ +182% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +199% |
| HORIZON | SHP | $1,180.30 | ↑ +202% |
| HORIZON | INDEMNITY | $1,223.75 | ↑ +214% |
| HORIZON | HMO | $1,224.58 | ↑ +214% |
| QUALCARE | HMO | $1,248.50 | ↑ +220% |
| QUALCARE | WORKERS COMP | $1,248.50 | ↑ +220% |
| QUALCARE | PPO | $1,248.50 | ↑ +220% |
| HORIZON | PPO | $1,257.03 | ↑ +222% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $265.59 | $40.51 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $299.83 | $80.36 – $801.34 |
| Community Medical Center | Toms River | $293.47 | $80.36 – $776.70 |
| Clara Maass Medical Center | Belleville | $290.39 | $80.36 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $294.74 | $41.71 – $801.34 |
| Monmouth Medical Center | Long Branch | $309.60 | $80.36 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $128.95 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $72.85 – $1,138.41 |