Analyze neurostimulator simple w/reprogramming 95971 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$100.32
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.
$1,471.00
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.
$63.22 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $63.22 | ↓ -37% |
| VACCN | ALL PRODUCTS | $100.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $100.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $100.32 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $100.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $105.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $109.34 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $120.38 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $264.78 | ↑ +164% |
| AETNA | MANAGED MEDICAID | $272.14 | ↑ +171% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $301.56 | ↑ +201% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $866.42 | ↑ +764% |
| HORIZON | PIP | $957.62 | ↑ +855% |
| HORIZON | WORKERS COMP | $988.36 | ↑ +885% |
| OXFORD | ALL PRODUCTS | $1,045.73 | ↑ +942% |
| HORIZON | OMNIA | $1,062.21 | ↑ +959% |
| BERGEN RISK | ALL PRODUCTS | $1,103.25 | ↑ +1000% |
| UNITED HEALTHCARE | HMO | $1,142.67 | ↑ +1039% |
| AETNA | ASA | $1,151.79 | ↑ +1048% |
| CIGNA | BH | $1,176.80 | ↑ +1073% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,250.35 | ↑ +1146% |
| HORIZON | SHP | $1,262.71 | ↑ +1159% |
| AMERIHEALTH | LOCAL HMO | $1,277.42 | ↑ +1173% |
| HORIZON | INDEMNITY | $1,309.19 | ↑ +1205% |
| HORIZON | HMO | $1,310.07 | ↑ +1206% |
| QUALCARE | HMO | $1,335.67 | ↑ +1231% |
| QUALCARE | PPO | $1,335.67 | ↑ +1231% |
| QUALCARE | WORKERS COMP | $1,335.67 | ↑ +1231% |
| HORIZON | PPO | $1,344.79 | ↑ +1241% |
| CIGNA | PPO | $1,406.72 | ↑ +1302% |
| CIGNA | HMO | $1,406.72 | ↑ +1302% |
| AMERIHEALTH | REGIONAL HMO | $1,446.88 | ↑ +1342% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +1574% |
| AETNA | PPO | $9,383.00 | ↑ +9253% |
| AETNA | HMO | $9,383.00 | ↑ +9253% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +9801% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Analyze neurostimulator simple w/reprogramming 95971 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $101.60 | $101.60 – $121.92 |
| Hackensack University Medical Center | Hackensack | $108.10 | $65.00 – $113.50 |
| Ocean University Medical Center | Brick | $100.32 | $63.22 – $120.38 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $101.69 | $65.00 – $101.69 |
| Jersey Shore University Medical Center | Neptune City | $101.60 | $63.22 – $121.92 |
| Palisades Medical Center | North Bergen | $108.10 | $65.00 – $117.83 |
| Raritan Bay Medical Center | Perth Amboy | $101.69 | $65.00 – $485.36 |
| Riverview Medical Center | Red Bank | $101.60 | $63.22 – $121.92 |