Emg 2 ext w-w/o paraspinal area 95861 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$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.
$1,210.00
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.
$140.87 with HORIZON BCBS BRAVEN vs $1,522.00 with UNITED HEALTHCARE — 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 | $140.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $140.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.92 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $153.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $217.80 | ↑ +55% |
| AETNA | MANAGED MEDICAID | $223.85 | ↑ +59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $248.05 | ↑ +76% |
| KARNA | MEDICARE ADVANTAGE | $268.81 | ↑ +91% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $712.69 | ↑ +406% |
| HORIZON | MANAGED MEDICAID | $766.90 | ↑ +444% |
| HORIZON | PIP | $787.71 | ↑ +459% |
| HORIZON | WORKERS COMP | $813.00 | ↑ +477% |
| HORIZON | OMNIA | $873.74 | ↑ +520% |
| BERGEN RISK | ALL PRODUCTS | $907.50 | ↑ +544% |
| AETNA | ASA | $947.43 | ↑ +573% |
| CIGNA | BH | $968.00 | ↑ +587% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,028.50 | ↑ +630% |
| HORIZON | SHP | $1,038.66 | ↑ +637% |
| OXFORD | ALL PRODUCTS | $1,041.00 | ↑ +639% |
| AMERIHEALTH | LOCAL HMO | $1,050.76 | ↑ +646% |
| HORIZON | INDEMNITY | $1,076.90 | ↑ +664% |
| HORIZON | HMO | $1,077.63 | ↑ +665% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,089.00 | ↑ +673% |
| AETNA | PPO | $1,089.24 | ↑ +673% |
| AETNA | HMO | $1,089.24 | ↑ +673% |
| QUALCARE | WORKERS COMP | $1,098.68 | ↑ +680% |
| QUALCARE | HMO | $1,098.68 | ↑ +680% |
| QUALCARE | PPO | $1,098.68 | ↑ +680% |
| HORIZON | PPO | $1,106.18 | ↑ +685% |
| CIGNA | HMO | $1,157.12 | ↑ +721% |
| CIGNA | PPO | $1,157.12 | ↑ +721% |
| AMERIHEALTH | REGIONAL HMO | $1,190.16 | ↑ +745% |
| UNITED HEALTHCARE | HMO | $1,522.00 | ↑ +980% |
| 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 |
| Ocean University Medical Center | Brick | $140.87 | $104.00 – $872.00 |
| 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 |