Hbb gene dup/del variants at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$202.40
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.
$1,219.00
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.
$161.92 with OPTUM HEALTH vs $1,219.00 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 | $161.92 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $202.35 | ↓ -0% |
| CLOVER | MEDICARE ADVANTAGE | $202.40 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $202.40 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $202.40 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $202.40 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $202.40 | ↑ +0% |
| VACCN | ALL PRODUCTS | $202.40 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $202.40 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $212.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $220.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $242.88 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $263.63 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $282.81 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $317.97 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $452.36 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $452.36 | ↑ +123% |
| QUALCARE | HMO | $708.24 | ↑ +250% |
| HORIZON | MANAGED MEDICAID | $840.99 | ↑ +316% |
| AETNA | PPO | $853.30 | ↑ +322% |
| AETNA | HMO | $853.30 | ↑ +322% |
| HORIZON | WORKERS COMP | $880.85 | ↑ +335% |
| BERGEN RISK | ALL PRODUCTS | $914.25 | ↑ +352% |
| BEACON | ALL PRODUCTS | $914.25 | ↑ +352% |
| CIGNA | HMO | $927.47 | ↑ +358% |
| CIGNA | PPO | $927.47 | ↑ +358% |
| HORIZON | PIP | $928.88 | ↑ +359% |
| QUALCARE | PPO | $947.16 | ↑ +368% |
| AETNA | ASA | $954.48 | ↑ +372% |
| HORIZON | OMNIA | $967.15 | ↑ +378% |
| CIGNA | BH | $975.20 | ↑ +382% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $975.20 | ↑ +382% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,036.15 | ↑ +412% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,036.15 | ↑ +412% |
| AMERIHEALTH | LOCAL HMO | $1,064.92 | ↑ +426% |
| QUALCARE | WORKERS COMP | $1,072.72 | ↑ +430% |
| HORIZON | SHP | $1,183.28 | ↑ +485% |
| HORIZON | HMO | $1,189.50 | ↑ +488% |
| HORIZON | INDEMNITY | $1,202.54 | ↑ +494% |
| AMERIHEALTH | REGIONAL HMO | $1,206.08 | ↑ +496% |
| HORIZON | PPO | $1,219.00 | ↑ +502% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Hbb gene dup/del variants at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $202.40 | $202.40 – $927.47 |
| Hackensack University Medical Center | Hackensack | $202.40 | $120.36 – $908.88 |
| Ocean University Medical Center | Brick | $202.40 | $178.11 – $927.47 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $202.40 | $178.11 – $952.54 |
| Palisades Medical Center | North Bergen | $202.40 | $132.77 – $927.47 |
| Raritan Bay Medical Center | Perth Amboy | $202.40 | $202.40 – $927.47 |
| Riverview Medical Center | Red Bank | $202.40 | $93.10 – $927.47 |
| Southern Ocean Medical Center | Manahawkin | $202.40 | $202.40 – $927.47 |