X-ray spine single view at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$96.23
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.
$495.00
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.
$31.34 with UNITED HEALTHCARE vs $452.53 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 | $31.34 | ↓ -67% |
| AETNA | PPO | $44.12 | ↓ -54% |
| AETNA | HMO | $44.12 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $44.66 | ↓ -54% |
| AMERIHEALTH | LOCAL HMO | $45.75 | ↓ -52% |
| AMERIHEALTH | REGIONAL HMO | $46.54 | ↓ -52% |
| CIGNA | HMO | $60.30 | ↓ -37% |
| CIGNA | PPO | $60.30 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $89.10 | ↓ -7% |
| AETNA | MANAGED MEDICAID | $91.58 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $96.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $96.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $101.04 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $101.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $104.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $267.80 | ↑ +178% |
| HORIZON | PIP | $322.25 | ↑ +235% |
| HORIZON | WORKERS COMP | $332.59 | ↑ +246% |
| HORIZON | OMNIA | $357.44 | ↑ +271% |
| BERGEN RISK | ALL PRODUCTS | $371.25 | ↑ +286% |
| AETNA | ASA | $387.59 | ↑ +303% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $396.00 | ↑ +312% |
| CIGNA | BH | $396.00 | ↑ +312% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $420.75 | ↑ +337% |
| HORIZON | SHP | $424.91 | ↑ +342% |
| HORIZON | INDEMNITY | $440.55 | ↑ +358% |
| HORIZON | HMO | $440.85 | ↑ +358% |
| QUALCARE | HMO | $449.46 | ↑ +367% |
| QUALCARE | WORKERS COMP | $449.46 | ↑ +367% |
| QUALCARE | PPO | $449.46 | ↑ +367% |
| HORIZON | PPO | $452.53 | ↑ +370% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray spine single view at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $59.31 | $12.64 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $66.96 | $19.99 – $197.58 |
| Community Medical Center | Toms River | $65.53 | $19.99 – $191.50 |
| Clara Maass Medical Center | Belleville | $94.47 | $19.99 – $196.59 |
| Childrens Specialized Hospital | Mountainside | $121.00 | $12.19 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $65.82 | $13.01 – $197.58 |
| Jersey City Medical Center | Jersey City | $65.66 | $16.35 – $206.34 |
| Monmouth Medical Center | Long Branch | $69.14 | $19.99 – $193.95 |