Emg 3 ext w-w/o paraspinal area 95863 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$173.18
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.
$115.70 with AETNA vs $4,246.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $115.70 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $125.46 | ↓ -28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $161.01 | ↓ -7% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $349.69 | ↑ +102% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $410.53 | ↑ +137% |
| HORIZON | MANAGED MEDICAID | $480.86 | ↑ +178% |
| HORIZON | WORKERS COMP | $503.65 | ↑ +191% |
| BERGEN RISK | ALL PRODUCTS | $522.75 | ↑ +202% |
| BEACON | ALL PRODUCTS | $522.75 | ↑ +202% |
| HORIZON | PIP | $531.11 | ↑ +207% |
| QUALCARE | PPO | $541.57 | ↑ +213% |
| QUALCARE | HMO | $541.57 | ↑ +213% |
| AETNA | ASA | $545.75 | ↑ +215% |
| HORIZON | OMNIA | $553.00 | ↑ +219% |
| CIGNA | BH | $557.60 | ↑ +222% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $592.45 | ↑ +242% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $592.45 | ↑ +242% |
| AMERIHEALTH | LOCAL HMO | $608.90 | ↑ +252% |
| QUALCARE | WORKERS COMP | $613.36 | ↑ +254% |
| AETNA | HMO | $627.30 | ↑ +262% |
| AETNA | PPO | $627.30 | ↑ +262% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $627.30 | ↑ +262% |
| CIGNA | PPO | $666.54 | ↑ +285% |
| CIGNA | HMO | $666.54 | ↑ +285% |
| HORIZON | SHP | $676.58 | ↑ +291% |
| HORIZON | HMO | $680.13 | ↑ +293% |
| HORIZON | INDEMNITY | $687.59 | ↑ +297% |
| AMERIHEALTH | REGIONAL HMO | $689.61 | ↑ +298% |
| HORIZON | PPO | $697.00 | ↑ +302% |
| OXFORD | ALL PRODUCTS | $1,032.00 | ↑ +496% |
| UNITED HEALTHCARE | HMO | $4,246.00 | ↑ +2352% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | 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 |
| 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 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $1,041.00 |