Drvvt confirm - quest at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$17.98
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.
$263.00
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.
$14.38 with OPTUM HEALTH vs $263.00 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 | $14.38 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $17.98 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $17.98 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $17.98 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.60 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.58 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.42 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $39.46 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $40.19 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $40.19 | ↑ +124% |
| AETNA | MANAGED MEDICAID | $43.66 | ↑ +143% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $61.02 | ↑ +239% |
| CIGNA | HMO | $82.39 | ↑ +358% |
| CIGNA | PPO | $82.39 | ↑ +358% |
| QUALCARE | HMO | $152.80 | ↑ +750% |
| HORIZON | MANAGED MEDICAID | $181.44 | ↑ +909% |
| AETNA | PPO | $184.10 | ↑ +924% |
| AETNA | HMO | $184.10 | ↑ +924% |
| HORIZON | WORKERS COMP | $190.04 | ↑ +957% |
| BERGEN RISK | ALL PRODUCTS | $197.25 | ↑ +997% |
| BEACON | ALL PRODUCTS | $197.25 | ↑ +997% |
| HORIZON | PIP | $200.41 | ↑ +1015% |
| QUALCARE | PPO | $204.35 | ↑ +1037% |
| AETNA | ASA | $205.93 | ↑ +1045% |
| HORIZON | OMNIA | $208.66 | ↑ +1061% |
| CIGNA | BH | $210.40 | ↑ +1070% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $210.40 | ↑ +1070% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $223.55 | ↑ +1143% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $223.55 | ↑ +1143% |
| AMERIHEALTH | LOCAL HMO | $229.76 | ↑ +1178% |
| QUALCARE | WORKERS COMP | $231.44 | ↑ +1187% |
| HORIZON | SHP | $255.29 | ↑ +1320% |
| HORIZON | HMO | $256.64 | ↑ +1327% |
| HORIZON | INDEMNITY | $259.45 | ↑ +1343% |
| AMERIHEALTH | REGIONAL HMO | $260.21 | ↑ +1347% |
| HORIZON | PPO | $263.00 | ↑ +1363% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Drvvt confirm - quest at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $17.98 | $17.98 – $82.39 |
| Hackensack University Medical Center | Hackensack | $17.98 | $14.38 – $80.74 |
| Ocean University Medical Center | Brick | $17.98 | $17.98 – $82.39 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.98 | $17.98 – $84.62 |
| Palisades Medical Center | North Bergen | $17.98 | $17.98 – $82.39 |
| Raritan Bay Medical Center | Perth Amboy | $17.98 | $17.98 – $82.39 |
| Riverview Medical Center | Red Bank | $17.98 | $17.98 – $82.39 |
| Southern Ocean Medical Center | Manahawkin | $17.98 | $17.98 – $82.39 |