Emg 3 ext w-w/o paraspinal area 95863 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$170.99
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.
$697.00
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.
$125.46 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $125.46 | ↓ -27% |
| AETNA | MANAGED MEDICAID | $128.95 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $142.89 | ↓ -16% |
| VACCN | ALL PRODUCTS | $170.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $170.99 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $186.38 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $349.69 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $410.53 | ↑ +140% |
| HORIZON | MANAGED MEDICAID | $441.76 | ↑ +158% |
| HORIZON | PIP | $453.75 | ↑ +165% |
| HORIZON | WORKERS COMP | $468.31 | ↑ +174% |
| HORIZON | OMNIA | $503.30 | ↑ +194% |
| BERGEN RISK | ALL PRODUCTS | $522.75 | ↑ +206% |
| AETNA | ASA | $545.75 | ↑ +219% |
| CIGNA | BH | $557.60 | ↑ +226% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $592.45 | ↑ +246% |
| HORIZON | SHP | $598.30 | ↑ +250% |
| AMERIHEALTH | LOCAL HMO | $605.27 | ↑ +254% |
| HORIZON | INDEMNITY | $620.33 | ↑ +263% |
| HORIZON | HMO | $620.75 | ↑ +263% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $627.30 | ↑ +267% |
| AETNA | HMO | $627.44 | ↑ +267% |
| AETNA | PPO | $627.44 | ↑ +267% |
| QUALCARE | PPO | $632.88 | ↑ +270% |
| QUALCARE | WORKERS COMP | $632.88 | ↑ +270% |
| QUALCARE | HMO | $632.88 | ↑ +270% |
| HORIZON | PPO | $637.20 | ↑ +273% |
| CIGNA | HMO | $666.54 | ↑ +290% |
| CIGNA | PPO | $666.54 | ↑ +290% |
| AMERIHEALTH | REGIONAL HMO | $685.57 | ↑ +301% |
| OXFORD | ALL PRODUCTS | $1,041.00 | ↑ +509% |
| UNITED HEALTHCARE | HMO | $1,522.00 | ↑ +790% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $978.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $4,692.00 |
| Ocean University Medical Center | Brick | $170.99 | $104.00 – $872.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $104.00 – $4,008.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $1,032.00 |
| Palisades Medical Center | North Bergen | $184.26 | $184.26 – $1,301.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $1,225.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $992.00 |