Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray cervical spine >= 6 views CPT 72052 | $116.22 | $858.00 | $84.68 – $171.46 | 9 |
| X-ray clavicle complete (both sides) CPT 73000 | $96.23 | $530.00 | $38.52 – $101.04 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $194.55 | $1,100.00 | $128.54 – $394.97 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $194.55 | $1,861.00 | $167.78 – $613.54 | 9 |
| X-ray consultation CPT 76140 | not published | $25.00 | $123.08 – $123.08 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | $96.23 | $420.00 | $38.52 – $101.04 | 9 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $96.23 | $578.00 | $43.28 – $101.04 | 9 |
| Xray endovasc thor ao repr CPT 75956 | not published | $1,037.00 | $0.58 – $1,297.82 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | $891.00 | $0.58 – $980.11 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $194.55 | $968.00 | $89.00 – $259.11 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $116.22 | $484.00 | $93.10 – $222.08 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $116.22 | $523.00 | $116.22 – $4,332.00 | 10 |
| X-ray exam of arm infant CPT 73092 | $116.22 | $398.00 | $36.37 – $122.03 | 9 |
| X-ray exam of eye sockets CPT 70200 | $116.22 | $715.00 | $58.94 – $124.53 | 9 |
| X-ray exam of femur 1 CPT 73551 | $96.23 | $337.00 | $35.88 – $101.04 | 9 |
| X-ray exam of jaw joint CPT 70328 | $96.23 | $440.00 | $36.37 – $101.04 | 9 |
| X-ray exam of jaw joint CPT 70332 | $264.17 | $865.00 | $151.79 – $277.38 | 8 |
| X-ray exam of mastoids CPT 70120 | $116.22 | $337.00 | $46.88 – $122.03 | 9 |
| X-ray exam of middle ear CPT 70134 | $599.23 | $1,320.00 | $55.36 – $629.19 | 9 |
| X-ray exam of penis CPT 74445 | $116.22 | not published | $84.68 – $295.04 | 8 |
| X-ray exam of perineum CPT 74775 | $264.17 | not published | $109.55 – $623.08 | 9 |
| X-ray exam of salivary gland CPT 70380 | $96.23 | $146.00 | $50.46 – $106.02 | 9 |
| X-ray exam of sinuses CPT 70210 | $96.23 | $385.00 | $46.88 – $101.04 | 9 |
| X-ray exam of tear duct CPT 70170 | $264.17 | $560.00 | $71.75 – $287.95 | 7 |
| X-ray exam of teeth CPT 70300 | $96.23 | $153.00 | $19.84 – $101.04 | 9 |
| X-ray exam of teeth CPT 70310 | $264.17 | $275.00 | $31.34 – $277.38 | 9 |
| X-ray exam si joints CPT 72200 | $116.22 | $385.00 | $38.52 – $122.03 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $116.22 | $715.00 | $68.87 – $122.03 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $96.23 | $318.00 | $31.34 – $101.04 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $116.22 | $545.00 | $58.94 – $124.53 | 9 |
| X-ray fallopian tube CPT 74742 | not published | $607.00 | $236.22 – $279.16 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $96.23 | $477.00 | $42.53 – $101.04 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $96.23 | $495.00 | $31.34 – $109.71 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $96.23 | $502.00 | $36.37 – $101.04 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $96.23 | $578.00 | $38.52 – $101.04 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $116.22 | $550.00 | $36.37 – $122.03 | 9 |
| X-ray head for orthodontia CPT 70350 | $96.23 | $177.00 | $28.19 – $101.04 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $96.23 | $451.00 | $34.94 – $101.04 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $116.22 | $528.00 | $69.14 – $162.81 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $116.22 | $509.00 | $52.50 – $122.03 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $116.22 | $700.00 | $62.48 – $140.57 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $116.22 | $781.00 | $75.13 – $166.50 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $96.23 | $374.00 | $37.88 – $101.04 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $96.23 | $578.00 | $43.28 – $101.04 | 9 |
| X-ray joint survey 1 view CPT 77077 | $116.22 | $308.00 | $65.17 – $153.16 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $96.23 | $549.00 | $38.52 – $101.04 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $96.23 | $688.00 | $43.28 – $112.19 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $96.23 | $413.00 | $36.37 – $115.88 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $96.23 | $358.00 | $36.37 – $101.04 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $116.22 | $529.00 | $67.43 – $122.03 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $116.22 | $1,019.00 | $68.87 – $136.88 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $116.22 | $990.00 | $89.00 – $170.22 | 9 |
| X-ray male genital tract CPT 74440 | $264.17 | $389.00 | $84.68 – $292.46 | 8 |
| X-ray mandible complete > 4 views CPT 70110 | $116.22 | $495.00 | $46.88 – $122.03 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $96.23 | $242.00 | $38.52 – $106.02 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $85.02 – $219.04 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $96.23 | $578.00 | $38.52 – $106.02 | 9 |
| X-ray neck soft tissue CPT 70360 | $96.23 | $435.00 | $31.34 – $101.04 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $96.23 | $310.00 | $38.52 – $101.04 | 9 |
| X-ray of mammary ducts CPT 77054 | $264.17 | $751.00 | $127.32 – $277.38 | 8 |
| X-ray optic foramina CPT 70190 | $96.23 | $162.00 | $46.88 – $101.04 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $116.22 | $481.00 | $38.52 – $122.03 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $116.22 | $578.00 | $50.46 – $122.03 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | $514.00 | $0.58 – $681.17 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $0.58 – $649.90 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $390.30 | $1,375.00 | $143.06 – $409.82 | 9 |
| X-ray ribs 2 views left CPT 71100 | $96.23 | $561.00 | $43.28 – $101.04 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $116.22 | $693.00 | $58.94 – $122.03 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $116.22 | $724.00 | $50.46 – $122.03 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $116.22 | $803.00 | $67.43 – $133.16 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $116.22 | $466.00 | $46.88 – $122.03 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $96.23 | $560.00 | $43.28 – $101.04 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $116.22 | $461.00 | $38.52 – $122.03 | 9 |
| X-ray sella turcica CPT 70240 | $96.23 | $154.00 | $31.34 – $101.04 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $96.23 | $358.00 | $34.94 – $101.04 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $96.23 | $484.00 | $58.94 – $101.04 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $599.23 | $1,128.00 | $78.93 – $629.19 | 8 |
| X-ray skull < 4 views CPT 70250 | $116.22 | $583.00 | $46.88 – $122.03 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $116.22 | $688.00 | $67.43 – $122.03 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $116.22 | $578.00 | $93.88 – $234.42 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $194.55 | $1,845.00 | $98.19 – $313.46 | 9 |
| X-ray small intestine follow-through study CPT 74248 | not published | $1,219.00 | $89.74 – $185.23 | 4 |
| X-ray spine single view CPT 72020 | $96.23 | $495.00 | $31.34 – $101.04 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $96.23 | $528.00 | $53.34 – $110.95 | 9 |
| X-ray sternum > 2 views CPT 71120 | $96.23 | $394.00 | $49.03 – $101.04 | 9 |
| X-ray surgical specimen CPT 76098 | $599.23 | $1,100.00 | $26.41 – $629.19 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $194.55 | $930.00 | $98.19 – $388.80 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $96.23 | $545.00 | $63.26 – $150.46 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $116.22 | $647.00 | $49.03 – $122.03 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $116.22 | $674.00 | $55.36 – $122.03 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $96.23 | $502.00 | $50.46 – $101.04 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $96.23 | $286.00 | $45.75 – $106.02 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $116.22 | $413.00 | $67.63 – $197.39 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $96.23 | $561.00 | $38.52 – $101.04 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $96.23 | $495.00 | $31.34 – $101.04 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $194.55 | $1,375.00 | $123.64 – $364.07 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $194.55 | $1,221.00 | $109.55 – $313.46 | 9 |
| X-ray wrist 2 views (both sides) CPT 73100 | $96.23 | $477.00 | $36.37 – $101.04 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $194.55 | $463.00 | $89.00 – $255.42 | 9 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $121.14 – $442.63 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.