Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$13.42
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.
$165.00
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.
$10.74 with OPTUM HEALTH vs $165.00 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 | $10.74 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.42 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16.10 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.48 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +96% |
| AETNA | MANAGED MEDICAID | $27.39 | ↑ +104% |
| UNITED HEALTHCARE | HMO | $29.99 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $29.99 | ↑ +123% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $38.28 | ↑ +185% |
| CIGNA | HMO | $61.50 | ↑ +358% |
| CIGNA | PPO | $61.50 | ↑ +358% |
| QUALCARE | HMO | $95.87 | ↑ +614% |
| HORIZON | MANAGED MEDICAID | $113.83 | ↑ +748% |
| AETNA | PPO | $115.50 | ↑ +761% |
| AETNA | HMO | $115.50 | ↑ +761% |
| HORIZON | WORKERS COMP | $119.23 | ↑ +788% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +822% |
| BEACON | ALL PRODUCTS | $123.75 | ↑ +822% |
| HORIZON | PIP | $125.73 | ↑ +837% |
| QUALCARE | PPO | $128.21 | ↑ +855% |
| AETNA | ASA | $129.20 | ↑ +863% |
| HORIZON | OMNIA | $130.91 | ↑ +875% |
| CIGNA | BH | $132.00 | ↑ +884% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $132.00 | ↑ +884% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +945% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $140.25 | ↑ +945% |
| AMERIHEALTH | LOCAL HMO | $144.14 | ↑ +974% |
| QUALCARE | WORKERS COMP | $145.20 | ↑ +982% |
| HORIZON | SHP | $160.17 | ↑ +1094% |
| HORIZON | HMO | $161.01 | ↑ +1100% |
| HORIZON | INDEMNITY | $162.77 | ↑ +1113% |
| AMERIHEALTH | REGIONAL HMO | $163.25 | ↑ +1116% |
| HORIZON | PPO | $165.00 | ↑ +1130% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.42 | $13.42 – $61.50 |
| Hackensack University Medical Center | Hackensack | $13.42 | $9.28 – $60.26 |
| Ocean University Medical Center | Brick | $13.42 | $13.40 – $61.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.42 | $13.40 – $63.16 |
| Palisades Medical Center | North Bergen | $13.42 | $10.23 – $61.50 |
| Raritan Bay Medical Center | Perth Amboy | $13.42 | $13.42 – $61.50 |
| Riverview Medical Center | Red Bank | $13.42 | $7.18 – $61.50 |
| Southern Ocean Medical Center | Manahawkin | $13.42 | $13.42 – $61.50 |