Ghs histoplasma antigen at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$13.25
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.
$193.00
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.
$10.60 with OPTUM HEALTH vs $193.00 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 | $10.60 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.44 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $15.90 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.26 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +99% |
| AETNA | MANAGED MEDICAID | $32.04 | ↑ +142% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $44.78 | ↑ +238% |
| CIGNA | PPO | $60.72 | ↑ +358% |
| CIGNA | HMO | $60.72 | ↑ +358% |
| UNITED HEALTHCARE | HMO | $109.05 | ↑ +723% |
| OXFORD | ALL PRODUCTS | $109.05 | ↑ +723% |
| QUALCARE | HMO | $112.13 | ↑ +746% |
| HORIZON | MANAGED MEDICAID | $133.15 | ↑ +905% |
| AETNA | PPO | $135.10 | ↑ +920% |
| AETNA | HMO | $135.10 | ↑ +920% |
| HORIZON | WORKERS COMP | $139.46 | ↑ +953% |
| BERGEN RISK | ALL PRODUCTS | $144.75 | ↑ +992% |
| BEACON | ALL PRODUCTS | $144.75 | ↑ +992% |
| HORIZON | PIP | $147.07 | ↑ +1010% |
| QUALCARE | PPO | $149.96 | ↑ +1032% |
| AETNA | ASA | $151.12 | ↑ +1041% |
| HORIZON | OMNIA | $153.13 | ↑ +1056% |
| CIGNA | BH | $154.40 | ↑ +1065% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $154.40 | ↑ +1065% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $164.05 | ↑ +1138% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $164.05 | ↑ +1138% |
| AMERIHEALTH | LOCAL HMO | $168.60 | ↑ +1172% |
| QUALCARE | WORKERS COMP | $169.84 | ↑ +1182% |
| HORIZON | SHP | $187.35 | ↑ +1314% |
| HORIZON | HMO | $188.33 | ↑ +1321% |
| HORIZON | INDEMNITY | $190.39 | ↑ +1337% |
| AMERIHEALTH | REGIONAL HMO | $190.95 | ↑ +1341% |
| HORIZON | PPO | $193.00 | ↑ +1357% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs histoplasma antigen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.25 | $13.25 – $60.72 |
| Hackensack University Medical Center | Hackensack | $13.25 | $9.28 – $59.50 |
| Ocean University Medical Center | Brick | $13.25 | $13.19 – $60.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.25 | $13.19 – $62.36 |
| Palisades Medical Center | North Bergen | $13.25 | $10.23 – $60.72 |
| Raritan Bay Medical Center | Perth Amboy | $13.25 | $13.25 – $60.72 |
| Riverview Medical Center | Red Bank | $13.25 | $7.18 – $60.72 |
| Southern Ocean Medical Center | Manahawkin | $13.25 | $13.25 – $60.72 |