X-ray scapula complete (both sides) 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.
$461.00
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 $421.45 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% |
| KARNA | MEDICARE ADVANTAGE | $44.00 | ↓ -62% |
| CIGNA | HMO | $52.91 | ↓ -54% |
| CIGNA | PPO | $52.91 | ↓ -54% |
| AMERIHEALTH | LOCAL HMO | $59.67 | ↓ -49% |
| AMERIHEALTH | REGIONAL HMO | $60.70 | ↓ -48% |
| AETNA | HMO | $65.17 | ↓ -44% |
| AETNA | PPO | $65.17 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $82.98 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $85.29 | ↓ -27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.51 | ↓ -19% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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 | $249.40 | ↑ +115% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| HORIZON | PIP | $300.11 | ↑ +158% |
| HORIZON | WORKERS COMP | $309.75 | ↑ +167% |
| HORIZON | OMNIA | $332.89 | ↑ +186% |
| BERGEN RISK | ALL PRODUCTS | $345.75 | ↑ +197% |
| AETNA | ASA | $360.96 | ↑ +211% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $368.80 | ↑ +217% |
| CIGNA | BH | $368.80 | ↑ +217% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.85 | ↑ +237% |
| HORIZON | SHP | $395.72 | ↑ +240% |
| HORIZON | INDEMNITY | $410.29 | ↑ +253% |
| HORIZON | HMO | $410.57 | ↑ +253% |
| QUALCARE | HMO | $418.59 | ↑ +260% |
| QUALCARE | WORKERS COMP | $418.59 | ↑ +260% |
| QUALCARE | PPO | $418.59 | ↑ +260% |
| HORIZON | PPO | $421.45 | ↑ +263% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $167.00 | $15.00 – $655.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $38.52 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $22.30 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $38.52 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $46.13 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $38.52 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $24.60 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $33.75 – $295.04 |