X-ray skull > 4 views complete 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.
$688.00
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.
$67.43 with UNITED HEALTHCARE vs $628.97 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 | $67.43 | ↓ -42% |
| KARNA | MEDICARE ADVANTAGE | $82.06 | ↓ -29% |
| AETNA | PPO | $87.29 | ↓ -25% |
| AETNA | HMO | $87.29 | ↓ -25% |
| AMERIHEALTH | LOCAL HMO | $99.45 | ↓ -14% |
| AMERIHEALTH | REGIONAL HMO | $101.17 | ↓ -13% |
| CIGNA | PPO | $112.19 | ↓ -3% |
| CIGNA | HMO | $112.19 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $116.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $116.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $122.03 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $123.84 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $126.68 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $127.28 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $141.04 | ↑ +21% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $372.21 | ↑ +220% |
| HORIZON | PIP | $447.89 | ↑ +285% |
| HORIZON | WORKERS COMP | $462.27 | ↑ +298% |
| HORIZON | OMNIA | $496.80 | ↑ +327% |
| BERGEN RISK | ALL PRODUCTS | $516.00 | ↑ +344% |
| AETNA | ASA | $538.70 | ↑ +364% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $550.40 | ↑ +374% |
| CIGNA | BH | $550.40 | ↑ +374% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $584.80 | ↑ +403% |
| HORIZON | SHP | $590.58 | ↑ +408% |
| HORIZON | INDEMNITY | $612.32 | ↑ +427% |
| HORIZON | HMO | $612.73 | ↑ +427% |
| QUALCARE | HMO | $624.70 | ↑ +438% |
| QUALCARE | WORKERS COMP | $624.70 | ↑ +438% |
| QUALCARE | PPO | $624.70 | ↑ +438% |
| HORIZON | PPO | $628.97 | ↑ +441% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray skull > 4 views complete at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $117.68 | $23.22 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $167.18 | $45.10 – $238.62 |
| Community Medical Center | Toms River | $130.03 | $45.10 – $231.28 |
| Clara Maass Medical Center | Belleville | $156.13 | $45.10 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $154.50 | $27.50 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.34 | $23.90 – $238.62 |
| Jersey City Medical Center | Jersey City | $130.29 | $30.04 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $67.43 – $295.04 |