Cell marker study at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$59.14
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.
$968.00
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.
$59.14 with HORIZON BCBS BRAVEN vs $968.00 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $59.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $59.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $64.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $70.97 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $120.89 | ↑ +104% |
| AETNA | MANAGED MEDICAID | $160.69 | ↑ +172% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $223.61 | ↑ +278% |
| KARNA | MEDICARE ADVANTAGE | $307.83 | ↑ +421% |
| UNITED HEALTHCARE | HMO | $546.92 | ↑ +825% |
| OXFORD | ALL PRODUCTS | $546.92 | ↑ +825% |
| QUALCARE | HMO | $562.41 | ↑ +851% |
| HORIZON | MANAGED MEDICAID | $667.82 | ↑ +1029% |
| AETNA | HMO | $677.60 | ↑ +1046% |
| AETNA | PPO | $677.60 | ↑ +1046% |
| HORIZON | WORKERS COMP | $699.48 | ↑ +1083% |
| BERGEN RISK | ALL PRODUCTS | $726.00 | ↑ +1128% |
| BEACON | ALL PRODUCTS | $726.00 | ↑ +1128% |
| HORIZON | PIP | $737.62 | ↑ +1147% |
| QUALCARE | PPO | $752.14 | ↑ +1172% |
| AETNA | ASA | $757.94 | ↑ +1182% |
| HORIZON | OMNIA | $768.01 | ↑ +1199% |
| CIGNA | BH | $774.40 | ↑ +1209% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $774.40 | ↑ +1209% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $822.80 | ↑ +1291% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $822.80 | ↑ +1291% |
| AMERIHEALTH | LOCAL HMO | $845.64 | ↑ +1330% |
| QUALCARE | WORKERS COMP | $851.84 | ↑ +1340% |
| CIGNA | PPO | $925.70 | ↑ +1465% |
| CIGNA | HMO | $925.70 | ↑ +1465% |
| HORIZON | SHP | $939.64 | ↑ +1489% |
| HORIZON | HMO | $944.57 | ↑ +1497% |
| HORIZON | INDEMNITY | $954.93 | ↑ +1515% |
| AMERIHEALTH | REGIONAL HMO | $957.74 | ↑ +1519% |
| HORIZON | PPO | $968.00 | ↑ +1537% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $50.34 – $324.12 |
| Ocean University Medical Center | Brick | $58.39 | $53.43 – $307.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $53.43 – $324.12 |
| Palisades Medical Center | North Bergen | $62.92 | $62.92 – $324.12 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $324.12 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $307.83 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $307.83 |