X-ray sternoclavicular joint(s) > 3 views 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.
$528.00
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.
$53.34 with UNITED HEALTHCARE vs $482.70 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 | $53.34 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $73.60 | ↓ -24% |
| AMERIHEALTH | REGIONAL HMO | $74.87 | ↓ -22% |
| KARNA | MEDICARE ADVANTAGE | $76.07 | ↓ -21% |
| AETNA | PPO | $76.24 | ↓ -21% |
| AETNA | HMO | $76.24 | ↓ -21% |
| CLOVER | MEDICARE ADVANTAGE | $95.04 | ↓ -1% |
| VACCN | ALL PRODUCTS | $96.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $96.23 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $97.68 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $101.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $104.89 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $108.24 | ↑ +12% |
| CIGNA | PPO | $110.95 | ↑ +15% |
| CIGNA | HMO | $110.95 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $285.65 | ↑ +197% |
| HORIZON | PIP | $343.73 | ↑ +257% |
| HORIZON | WORKERS COMP | $354.76 | ↑ +269% |
| HORIZON | OMNIA | $381.27 | ↑ +296% |
| BERGEN RISK | ALL PRODUCTS | $396.00 | ↑ +312% |
| AETNA | ASA | $413.42 | ↑ +330% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $422.40 | ↑ +339% |
| CIGNA | BH | $422.40 | ↑ +339% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $448.80 | ↑ +366% |
| HORIZON | SHP | $453.24 | ↑ +371% |
| HORIZON | INDEMNITY | $469.92 | ↑ +388% |
| HORIZON | HMO | $470.24 | ↑ +389% |
| QUALCARE | HMO | $479.42 | ↑ +398% |
| QUALCARE | WORKERS COMP | $479.42 | ↑ +398% |
| QUALCARE | PPO | $479.42 | ↑ +398% |
| HORIZON | PPO | $482.70 | ↑ +402% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sternoclavicular joint(s) > 3 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $146.21 | $21.52 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $96.20 | $32.80 – $197.58 |
| Community Medical Center | Toms River | $161.56 | $32.80 – $191.50 |
| Clara Maass Medical Center | Belleville | $130.87 | $32.80 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $94.56 | $22.16 – $197.58 |
| Jersey City Medical Center | Jersey City | $161.87 | $27.85 – $206.34 |
| Monmouth Medical Center | Long Branch | $170.44 | $32.80 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $53.34 – $219.04 |