Consultation pathology during surgery cytological exam initial site at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$904.19
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.
$1,282.00
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.
$42.26 with UNITED HEALTHCARE vs $1,466.50 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $42.26 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $165.56 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $212.81 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $296.14 | ↓ -67% |
| QUALCARE | HMO | $744.84 | ↓ -18% |
| AETNA | PPO | $897.40 | ↓ -1% |
| AETNA | HMO | $897.40 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $904.19 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $904.19 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $904.19 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $904.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $904.19 | ↑ +0% |
| HORIZON | WORKERS COMP | $926.37 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $949.40 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $961.50 | ↑ +6% |
| BEACON | ALL PRODUCTS | $961.50 | ↑ +6% |
| HORIZON | PIP | $976.88 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $985.57 | ↑ +9% |
| QUALCARE | PPO | $996.11 | ↑ +10% |
| AETNA | ASA | $1,003.81 | ↑ +11% |
| HORIZON | OMNIA | $1,017.14 | ↑ +12% |
| CIGNA | BH | $1,025.60 | ↑ +13% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,025.60 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $1,085.03 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,089.70 | ↑ +21% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,089.70 | ↑ +21% |
| AMERIHEALTH | LOCAL HMO | $1,119.96 | ↑ +24% |
| QUALCARE | WORKERS COMP | $1,128.16 | ↑ +25% |
| CIGNA | HMO | $1,225.98 | ↑ +36% |
| CIGNA | PPO | $1,225.98 | ↑ +36% |
| HORIZON | SHP | $1,244.44 | ↑ +38% |
| HORIZON | HMO | $1,250.98 | ↑ +38% |
| HORIZON | INDEMNITY | $1,264.69 | ↑ +40% |
| AMERIHEALTH | REGIONAL HMO | $1,268.41 | ↑ +40% |
| HORIZON | PPO | $1,282.00 | ↑ +42% |
| OXFORD | ALL PRODUCTS | $1,466.50 | ↑ +62% |
| UNITED HEALTHCARE | HMO | $1,466.50 | ↑ +62% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $904.19 | $42.26 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $55.97 – $1,515.40 |
| Ocean University Medical Center | Brick | $892.77 | $42.26 – $892.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $904.98 | $88.07 – $1,430.41 |
| Palisades Medical Center | North Bergen | $962.03 | $61.75 – $2,767.57 |
| Raritan Bay Medical Center | Perth Amboy | $904.98 | $42.26 – $1,346.75 |
| Riverview Medical Center | Red Bank | $904.19 | $42.26 – $1,346.75 |
| Southern Ocean Medical Center | Manahawkin | $892.77 | $42.26 – $973.12 |