2019-ncov diagnostic p at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$35.92
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.
$99.00
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.
$16.43 with AETNA vs $99.00 with HORIZON — 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 | $16.43 | ↓ -54% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $22.97 | ↓ -36% |
| OPTUM HEALTH | MANAGED MEDICAID | $28.74 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $35.92 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35.92 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $35.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35.92 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $35.92 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $37.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $39.15 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $43.10 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $46.79 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $55.94 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $55.94 | ↑ +56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $56.43 | ↑ +57% |
| QUALCARE | HMO | $57.52 | ↑ +60% |
| HORIZON | MANAGED MEDICAID | $68.30 | ↑ +90% |
| HORIZON | WORKERS COMP | $71.54 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $74.25 | ↑ +107% |
| BEACON | ALL PRODUCTS | $74.25 | ↑ +107% |
| HORIZON | PIP | $75.44 | ↑ +110% |
| QUALCARE | PPO | $76.92 | ↑ +114% |
| AETNA | ASA | $77.52 | ↑ +116% |
| HORIZON | OMNIA | $78.55 | ↑ +119% |
| CIGNA | BH | $79.20 | ↑ +120% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $79.20 | ↑ +120% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $84.15 | ↑ +134% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $84.15 | ↑ +134% |
| AMERIHEALTH | LOCAL HMO | $86.49 | ↑ +141% |
| QUALCARE | WORKERS COMP | $87.12 | ↑ +143% |
| CIGNA | PPO | $87.48 | ↑ +144% |
| CIGNA | HMO | $88.83 | ↑ +147% |
| AETNA | HMO | $89.10 | ↑ +148% |
| AETNA | PPO | $89.10 | ↑ +148% |
| HORIZON | SHP | $96.10 | ↑ +168% |
| HORIZON | HMO | $96.60 | ↑ +169% |
| HORIZON | INDEMNITY | $97.66 | ↑ +172% |
| AMERIHEALTH | REGIONAL HMO | $97.95 | ↑ +173% |
| HORIZON | PPO | $99.00 | ↑ +176% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
2019-ncov diagnostic p at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $35.92 | $35.92 – $78.31 |
| Palisades Medical Center | North Bergen | $35.92 | $35.92 – $73.73 |
| Raritan Bay Medical Center | Perth Amboy | $35.92 | $35.92 – $73.73 |
| Riverview Medical Center | Red Bank | $35.92 | $35.92 – $73.73 |
| Southern Ocean Medical Center | Manahawkin | $35.92 | $35.92 – $46.79 |