Ftl cgen abnor two proteins at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$54.30
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.
$150.00
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.
$21.75 with AETNA vs $248.82 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $21.75 | ↓ -60% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $30.39 | ↓ -44% |
| OPTUM HEALTH | MANAGED MEDICAID | $43.44 | ↓ -20% |
| VACCN | ALL PRODUCTS | $54.30 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $54.30 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $54.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $54.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $54.30 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $54.30 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $54.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $57.02 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $59.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $65.16 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $70.73 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $74.02 | ↑ +36% |
| OXFORD | ALL PRODUCTS | $74.02 | ↑ +36% |
| QUALCARE | HMO | $76.11 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $85.31 | ↑ +57% |
| HORIZON | MANAGED MEDICAID | $90.38 | ↑ +66% |
| AETNA | HMO | $91.70 | ↑ +69% |
| AETNA | PPO | $91.70 | ↑ +69% |
| HORIZON | WORKERS COMP | $94.66 | ↑ +74% |
| BEACON | ALL PRODUCTS | $98.25 | ↑ +81% |
| BERGEN RISK | ALL PRODUCTS | $98.25 | ↑ +81% |
| HORIZON | PIP | $99.82 | ↑ +84% |
| QUALCARE | PPO | $101.79 | ↑ +87% |
| AETNA | ASA | $102.57 | ↑ +89% |
| HORIZON | OMNIA | $103.94 | ↑ +91% |
| CIGNA | BH | $104.80 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $104.80 | ↑ +93% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $111.35 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $111.35 | ↑ +105% |
| AMERIHEALTH | LOCAL HMO | $114.44 | ↑ +111% |
| QUALCARE | WORKERS COMP | $115.28 | ↑ +112% |
| HORIZON | SHP | $127.16 | ↑ +134% |
| HORIZON | HMO | $127.83 | ↑ +135% |
| HORIZON | INDEMNITY | $129.23 | ↑ +138% |
| AMERIHEALTH | REGIONAL HMO | $129.61 | ↑ +139% |
| HORIZON | PPO | $131.00 | ↑ +141% |
| CIGNA | PPO | $248.82 | ↑ +358% |
| CIGNA | HMO | $248.82 | ↑ +358% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ftl cgen abnor two proteins at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $59.73 | $25.52 – $221.65 |
| Cooperman Barnabas Medical Center | Livingston | $59.73 | $25.52 – $221.65 |
| Community Medical Center | Toms River | $59.73 | $25.52 – $221.65 |
| Clara Maass Medical Center | Belleville | $59.73 | $25.52 – $221.65 |
| Newark Beth Israel Medical Center | Newark | $59.73 | $25.52 – $221.65 |
| Jersey City Medical Center | Jersey City | $59.73 | $25.52 – $221.65 |
| Monmouth Medical Center | Long Branch | $59.73 | $25.52 – $221.65 |
| Bayshore Medical Center | Holmdel | $54.30 | $54.30 – $248.82 |