Eeg monitor/record/awake/drowsy 95816 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$340.32
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.
$1,631.00
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.
$293.58 with CLOVER vs $1,604.25 with AMERIHEALTH — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $293.58 | ↓ -14% |
| AETNA | MANAGED MEDICAID | $301.74 | ↓ -11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $334.36 | ↓ -2% |
| VACCN | ALL PRODUCTS | $340.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $340.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $340.32 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $340.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $357.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $370.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $408.39 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $675.68 | ↑ +99% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $960.66 | ↑ +182% |
| HORIZON | MANAGED MEDICAID | $1,033.73 | ↑ +204% |
| HORIZON | PIP | $1,061.78 | ↑ +212% |
| HORIZON | WORKERS COMP | $1,095.87 | ↑ +222% |
| OXFORD | ALL PRODUCTS | $1,159.48 | ↑ +241% |
| HORIZON | OMNIA | $1,177.75 | ↑ +246% |
| BERGEN RISK | ALL PRODUCTS | $1,223.25 | ↑ +259% |
| UNITED HEALTHCARE | HMO | $1,266.96 | ↑ +272% |
| AETNA | ASA | $1,277.07 | ↑ +275% |
| CIGNA | BH | $1,304.80 | ↑ +283% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,386.35 | ↑ +307% |
| HORIZON | SHP | $1,400.05 | ↑ +311% |
| AMERIHEALTH | LOCAL HMO | $1,416.36 | ↑ +316% |
| HORIZON | INDEMNITY | $1,451.59 | ↑ +327% |
| HORIZON | HMO | $1,452.57 | ↑ +327% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,467.90 | ↑ +331% |
| AETNA | HMO | $1,468.23 | ↑ +331% |
| AETNA | PPO | $1,468.23 | ↑ +331% |
| QUALCARE | HMO | $1,480.95 | ↑ +335% |
| QUALCARE | PPO | $1,480.95 | ↑ +335% |
| QUALCARE | WORKERS COMP | $1,480.95 | ↑ +335% |
| HORIZON | PPO | $1,491.06 | ↑ +338% |
| CIGNA | PPO | $1,559.73 | ↑ +358% |
| CIGNA | HMO | $1,559.73 | ↑ +358% |
| AMERIHEALTH | REGIONAL HMO | $1,604.25 | ↑ +371% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $413.61 |
| Hackensack University Medical Center | Hackensack | $366.72 | $293.38 – $4,782.00 |
| Ocean University Medical Center | Brick | $340.32 | $104.00 – $675.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $104.00 – $7,013.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $344.68 – $675.68 |
| Palisades Medical Center | North Bergen | $366.72 | $366.72 – $1,998.00 |
| Raritan Bay Medical Center | Perth Amboy | $344.98 | $344.98 – $713.23 |
| Riverview Medical Center | Red Bank | $344.68 | $344.68 – $675.68 |