#a/b/c/c/h pnl-candida albicans ab at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$12.01
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.
$143.00
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.
$7.80 with AETNA vs $55.03 with CIGNA — 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 | $7.80 | ↓ -35% |
| OPTUM HEALTH | MANAGED MEDICAID | $9.61 | ↓ -20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $10.90 | ↓ -9% |
| AMERIGROUP | MANAGED MEDICAID | $12.01 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.01 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.01 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.01 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13.09 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14.41 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.64 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.36 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $26.56 | ↑ +121% |
| OXFORD | ALL PRODUCTS | $26.56 | ↑ +121% |
| QUALCARE | HMO | $27.31 | ↑ +127% |
| HORIZON | MANAGED MEDICAID | $32.43 | ↑ +170% |
| AETNA | PPO | $32.90 | ↑ +174% |
| AETNA | HMO | $32.90 | ↑ +174% |
| HORIZON | WORKERS COMP | $33.96 | ↑ +183% |
| BERGEN RISK | ALL PRODUCTS | $35.25 | ↑ +194% |
| BEACON | ALL PRODUCTS | $35.25 | ↑ +194% |
| HORIZON | PIP | $35.81 | ↑ +198% |
| QUALCARE | PPO | $36.52 | ↑ +204% |
| AETNA | ASA | $36.80 | ↑ +206% |
| HORIZON | OMNIA | $37.29 | ↑ +210% |
| CIGNA | BH | $37.60 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $37.60 | ↑ +213% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $39.95 | ↑ +233% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $39.95 | ↑ +233% |
| AMERIHEALTH | LOCAL HMO | $41.06 | ↑ +242% |
| QUALCARE | WORKERS COMP | $41.36 | ↑ +244% |
| HORIZON | SHP | $45.62 | ↑ +280% |
| HORIZON | HMO | $45.86 | ↑ +282% |
| HORIZON | INDEMNITY | $46.37 | ↑ +286% |
| AMERIHEALTH | REGIONAL HMO | $46.50 | ↑ +287% |
| HORIZON | PPO | $47.00 | ↑ +291% |
| CIGNA | PPO | $55.03 | ↑ +358% |
| CIGNA | HMO | $55.03 | ↑ +358% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12.01 | $12.01 – $55.03 |
| Hackensack University Medical Center | Hackensack | $12.01 | $9.61 – $53.93 |
| Ocean University Medical Center | Brick | $12.01 | $11.00 – $55.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12.01 | $11.00 – $56.52 |
| Palisades Medical Center | North Bergen | $12.01 | $12.01 – $55.03 |
| Raritan Bay Medical Center | Perth Amboy | $12.01 | $12.01 – $55.03 |
| Riverview Medical Center | Red Bank | $12.01 | $11.50 – $55.03 |
| Southern Ocean Medical Center | Manahawkin | $12.01 | $12.01 – $55.03 |