Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$13.82
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.
$109.00
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.
$11.06 with OPTUM HEALTH vs $109.00 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 | $11.06 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $13.82 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.82 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.82 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.82 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.82 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.82 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.82 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $15.06 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16.58 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $18.00 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $18.09 | ↑ +31% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $25.29 | ↑ +83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +91% |
| OXFORD | ALL PRODUCTS | $30.89 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $30.89 | ↑ +124% |
| CIGNA | PPO | $63.33 | ↑ +358% |
| CIGNA | HMO | $63.33 | ↑ +358% |
| QUALCARE | HMO | $63.33 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | $75.20 | ↑ +444% |
| AETNA | PPO | $76.30 | ↑ +452% |
| AETNA | HMO | $76.30 | ↑ +452% |
| HORIZON | WORKERS COMP | $78.76 | ↑ +470% |
| BERGEN RISK | ALL PRODUCTS | $81.75 | ↑ +492% |
| BEACON | ALL PRODUCTS | $81.75 | ↑ +492% |
| HORIZON | PIP | $83.06 | ↑ +501% |
| QUALCARE | PPO | $84.69 | ↑ +513% |
| AETNA | ASA | $85.35 | ↑ +518% |
| HORIZON | OMNIA | $86.48 | ↑ +526% |
| CIGNA | BH | $87.20 | ↑ +531% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $87.20 | ↑ +531% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $92.65 | ↑ +570% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $92.65 | ↑ +570% |
| AMERIHEALTH | LOCAL HMO | $95.22 | ↑ +589% |
| QUALCARE | WORKERS COMP | $95.92 | ↑ +594% |
| HORIZON | SHP | $105.81 | ↑ +666% |
| HORIZON | HMO | $106.36 | ↑ +670% |
| HORIZON | INDEMNITY | $107.53 | ↑ +678% |
| AMERIHEALTH | REGIONAL HMO | $107.84 | ↑ +680% |
| HORIZON | PPO | $109.00 | ↑ +689% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.82 | $13.82 – $63.33 |
| Hackensack University Medical Center | Hackensack | $13.82 | $11.06 – $62.06 |
| Ocean University Medical Center | Brick | $13.82 | $13.75 – $63.33 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.82 | $13.75 – $65.04 |
| Palisades Medical Center | North Bergen | $13.82 | $12.48 – $63.33 |
| Raritan Bay Medical Center | Perth Amboy | $13.82 | $13.82 – $63.33 |
| Riverview Medical Center | Red Bank | $13.82 | $8.75 – $63.33 |
| Southern Ocean Medical Center | Manahawkin | $13.82 | $13.82 – $63.33 |