Emg 2 ext w-w/o paraspinal area 95861 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$140.87
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.
$1,681.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $1,344.80 with PRIME HEALTH — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -26% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -4% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $171.82 | ↑ +22% |
| HORIZON | HMO | $181.00 | ↑ +28% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +33% |
| CLOVER | MEDICARE ADVANTAGE | $217.80 | ↑ +55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $234.74 | ↑ +67% |
| KARNA | MEDICARE ADVANTAGE | $268.81 | ↑ +91% |
| AMERIGROUP | MEDICARE ADVANTAGE | $366.46 | ↑ +160% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $570.53 | ↑ +305% |
| HORIZON | MANAGED MEDICAID | $719.71 | ↑ +411% |
| HORIZON | OMNIA | $788.19 | ↑ +460% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $840.50 | ↑ +497% |
| OXFORD | ALL PRODUCTS | $872.00 | ↑ +519% |
| BERGEN RISK | ALL PRODUCTS | $907.50 | ↑ +544% |
| UNITED HEALTHCARE | HMO | $908.00 | ↑ +545% |
| HORIZON | PIP | $935.33 | ↑ +564% |
| QUALCARE | HMO | $940.17 | ↑ +567% |
| QUALCARE | PPO | $940.17 | ↑ +567% |
| HORIZON | SHP | $943.44 | ↑ +570% |
| AETNA | ASA | $947.43 | ↑ +573% |
| HORIZON | INDEMNITY | $984.94 | ↑ +599% |
| HORIZON | PPO | $998.98 | ↑ +609% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,008.60 | ↑ +616% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,028.50 | ↑ +630% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,028.50 | ↑ +630% |
| AMERIHEALTH | LOCAL HMO | $1,039.63 | ↑ +638% |
| QUALCARE | WORKERS COMP | $1,064.80 | ↑ +656% |
| AETNA | PPO | $1,089.00 | ↑ +673% |
| AETNA | HMO | $1,089.00 | ↑ +673% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $1,092.65 | ↑ +676% |
| CIGNA | HMO | $1,157.12 | ↑ +721% |
| CIGNA | PPO | $1,157.12 | ↑ +721% |
| INTERGROUP | SHARED SAVINGS | $1,176.70 | ↑ +735% |
| INTERGROUP | WORKERS COMP | $1,176.70 | ↑ +735% |
| AMERIHEALTH | REGIONAL HMO | $1,177.57 | ↑ +736% |
| PRIME HEALTH | WORKERS COMP | $1,344.80 | ↑ +855% |
| PRIME HEALTH | AUTO INSURANCE | $1,344.80 | ↑ +855% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $978.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $121.44 – $4,692.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $104.00 – $4,008.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $142.67 – $1,032.00 |
| Palisades Medical Center | North Bergen | $151.80 | $151.80 – $1,301.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $142.80 – $1,225.00 |
| Riverview Medical Center | Red Bank | $142.67 | $142.67 – $992.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $140.87 – $1,041.00 |