Assay of somatostatin at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$18.28
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.
$437.00
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.
$14.62 with OPTUM HEALTH vs $437.00 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 | $14.62 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $18.28 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $18.28 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $18.28 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.28 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.28 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $18.28 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.28 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.94 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.81 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $40.12 | ↑ +119% |
| AETNA | MANAGED MEDICAID | $72.54 | ↑ +297% |
| CIGNA | PPO | $83.77 | ↑ +358% |
| CIGNA | HMO | $83.77 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $101.38 | ↑ +455% |
| OXFORD | ALL PRODUCTS | $246.91 | ↑ +1251% |
| UNITED HEALTHCARE | HMO | $246.91 | ↑ +1251% |
| QUALCARE | HMO | $253.90 | ↑ +1289% |
| HORIZON | MANAGED MEDICAID | $301.49 | ↑ +1549% |
| AETNA | PPO | $305.90 | ↑ +1573% |
| AETNA | HMO | $305.90 | ↑ +1573% |
| HORIZON | WORKERS COMP | $315.78 | ↑ +1627% |
| BERGEN RISK | ALL PRODUCTS | $327.75 | ↑ +1693% |
| BEACON | ALL PRODUCTS | $327.75 | ↑ +1693% |
| HORIZON | PIP | $332.99 | ↑ +1722% |
| QUALCARE | PPO | $339.55 | ↑ +1757% |
| AETNA | ASA | $342.17 | ↑ +1772% |
| HORIZON | OMNIA | $346.72 | ↑ +1797% |
| CIGNA | BH | $349.60 | ↑ +1812% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $349.60 | ↑ +1812% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $371.45 | ↑ +1932% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $371.45 | ↑ +1932% |
| AMERIHEALTH | LOCAL HMO | $381.76 | ↑ +1988% |
| QUALCARE | WORKERS COMP | $384.56 | ↑ +2004% |
| HORIZON | SHP | $424.20 | ↑ +2221% |
| HORIZON | HMO | $426.42 | ↑ +2233% |
| HORIZON | INDEMNITY | $431.10 | ↑ +2258% |
| AMERIHEALTH | REGIONAL HMO | $432.37 | ↑ +2265% |
| HORIZON | PPO | $437.00 | ↑ +2291% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Assay of somatostatin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $18.28 | $18.28 – $83.77 |
| Hackensack University Medical Center | Hackensack | $18.28 | $14.62 – $82.09 |
| Ocean University Medical Center | Brick | $18.28 | $17.60 – $83.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $18.28 | $17.60 – $86.03 |
| Palisades Medical Center | North Bergen | $18.28 | $18.28 – $83.77 |
| Raritan Bay Medical Center | Perth Amboy | $18.28 | $18.28 – $83.77 |
| Riverview Medical Center | Red Bank | $18.28 | $18.28 – $83.77 |
| Southern Ocean Medical Center | Manahawkin | $18.28 | $18.28 – $83.77 |