Assay of galactose at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$11.20
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.
$934.00
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.
$8.96 with OPTUM HEALTH vs $138.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $8.96 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $11.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11.76 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13.44 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $14.59 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $22.91 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $24.57 | ↑ +119% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.02 | ↑ +186% |
| CIGNA | PPO | $51.32 | ↑ +358% |
| CIGNA | HMO | $51.32 | ↑ +358% |
| UNITED HEALTHCARE | HMO | $77.97 | ↑ +596% |
| OXFORD | ALL PRODUCTS | $77.97 | ↑ +596% |
| QUALCARE | HMO | $80.18 | ↑ +616% |
| HORIZON | MANAGED MEDICAID | $95.21 | ↑ +750% |
| AETNA | PPO | $96.60 | ↑ +763% |
| AETNA | HMO | $96.60 | ↑ +763% |
| HORIZON | WORKERS COMP | $99.72 | ↑ +790% |
| BERGEN RISK | ALL PRODUCTS | $103.50 | ↑ +824% |
| BEACON | ALL PRODUCTS | $103.50 | ↑ +824% |
| HORIZON | PIP | $105.16 | ↑ +839% |
| QUALCARE | PPO | $107.23 | ↑ +857% |
| AETNA | ASA | $108.05 | ↑ +865% |
| HORIZON | OMNIA | $109.49 | ↑ +878% |
| CIGNA | BH | $110.40 | ↑ +886% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $110.40 | ↑ +886% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $117.30 | ↑ +947% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $117.30 | ↑ +947% |
| AMERIHEALTH | LOCAL HMO | $120.56 | ↑ +976% |
| QUALCARE | WORKERS COMP | $121.44 | ↑ +984% |
| HORIZON | SHP | $133.96 | ↑ +1096% |
| HORIZON | HMO | $134.66 | ↑ +1102% |
| HORIZON | INDEMNITY | $136.14 | ↑ +1116% |
| AMERIHEALTH | REGIONAL HMO | $136.54 | ↑ +1119% |
| HORIZON | PPO | $138.00 | ↑ +1132% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Assay of galactose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11.20 | $11.20 – $51.32 |
| Hackensack University Medical Center | Hackensack | $11.20 | $8.96 – $50.29 |
| Ocean University Medical Center | Brick | $11.20 | $11.20 – $51.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11.20 | $11.20 – $52.71 |
| Palisades Medical Center | North Bergen | $11.20 | $11.20 – $51.32 |
| Raritan Bay Medical Center | Perth Amboy | $11.20 | $11.20 – $51.32 |
| Riverview Medical Center | Red Bank | $11.20 | $11.20 – $51.32 |
| Southern Ocean Medical Center | Manahawkin | $11.20 | $11.20 – $51.32 |