Culture fungi skin/hair/nail at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$7.71
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.
$130.00
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.
$6.17 with OPTUM HEALTH vs $130.00 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 | $6.17 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $7.71 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $7.71 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $7.71 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7.71 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7.71 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $9.25 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $10.04 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16.92 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $17.23 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $17.23 | ↑ +123% |
| AETNA | MANAGED MEDICAID | $21.58 | ↑ +180% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $30.16 | ↑ +291% |
| CIGNA | HMO | $35.33 | ↑ +358% |
| CIGNA | PPO | $35.33 | ↑ +358% |
| QUALCARE | HMO | $75.53 | ↑ +880% |
| HORIZON | MANAGED MEDICAID | $89.69 | ↑ +1063% |
| AETNA | PPO | $91.00 | ↑ +1080% |
| AETNA | HMO | $91.00 | ↑ +1080% |
| HORIZON | WORKERS COMP | $93.94 | ↑ +1118% |
| BERGEN RISK | ALL PRODUCTS | $97.50 | ↑ +1165% |
| BEACON | ALL PRODUCTS | $97.50 | ↑ +1165% |
| HORIZON | PIP | $99.06 | ↑ +1185% |
| QUALCARE | PPO | $101.01 | ↑ +1210% |
| AETNA | ASA | $101.79 | ↑ +1220% |
| HORIZON | OMNIA | $103.14 | ↑ +1238% |
| CIGNA | BH | $104.00 | ↑ +1249% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $104.00 | ↑ +1249% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $110.50 | ↑ +1333% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $110.50 | ↑ +1333% |
| AMERIHEALTH | LOCAL HMO | $113.57 | ↑ +1373% |
| QUALCARE | WORKERS COMP | $114.40 | ↑ +1384% |
| HORIZON | SHP | $126.19 | ↑ +1537% |
| HORIZON | HMO | $126.85 | ↑ +1545% |
| HORIZON | INDEMNITY | $128.25 | ↑ +1563% |
| AMERIHEALTH | REGIONAL HMO | $128.62 | ↑ +1568% |
| HORIZON | PPO | $130.00 | ↑ +1586% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Culture fungi skin/hair/nail at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7.71 | $7.71 – $35.33 |
| Hackensack University Medical Center | Hackensack | $7.71 | $6.17 – $34.62 |
| Ocean University Medical Center | Brick | $7.71 | $7.71 – $35.33 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7.71 | $7.71 – $36.29 |
| Palisades Medical Center | North Bergen | $7.71 | $7.71 – $35.33 |
| Raritan Bay Medical Center | Perth Amboy | $7.71 | $7.71 – $35.33 |
| Riverview Medical Center | Red Bank | $7.71 | $7.71 – $35.33 |
| Southern Ocean Medical Center | Manahawkin | $7.71 | $7.71 – $35.33 |