Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$37.27
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.
?
What you pay up front if you don't use insurance.
$264.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.82 with OPTUM HEALTH vs $264.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.82 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $37.27 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $37.27 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $37.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $37.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $37.27 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $37.27 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $37.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.13 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $40.62 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $43.82 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $44.72 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $48.54 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $61.25 | ↑ +64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $78.97 | ↑ +112% |
| OXFORD | ALL PRODUCTS | $83.30 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $83.30 | ↑ +124% |
| QUALCARE | HMO | $153.38 | ↑ +312% |
| CIGNA | PPO | $170.78 | ↑ +358% |
| CIGNA | HMO | $170.78 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | $182.13 | ↑ +389% |
| AETNA | PPO | $184.80 | ↑ +396% |
| AETNA | HMO | $184.80 | ↑ +396% |
| HORIZON | WORKERS COMP | $190.77 | ↑ +412% |
| BERGEN RISK | ALL PRODUCTS | $198.00 | ↑ +431% |
| BEACON | ALL PRODUCTS | $198.00 | ↑ +431% |
| HORIZON | PIP | $201.17 | ↑ +440% |
| QUALCARE | PPO | $205.13 | ↑ +450% |
| AETNA | ASA | $206.71 | ↑ +455% |
| HORIZON | OMNIA | $209.46 | ↑ +462% |
| CIGNA | BH | $211.20 | ↑ +467% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $211.20 | ↑ +467% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $224.40 | ↑ +502% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $224.40 | ↑ +502% |
| AMERIHEALTH | LOCAL HMO | $230.63 | ↑ +519% |
| QUALCARE | WORKERS COMP | $232.32 | ↑ +523% |
| HORIZON | SHP | $256.26 | ↑ +588% |
| HORIZON | HMO | $257.61 | ↑ +591% |
| HORIZON | INDEMNITY | $260.44 | ↑ +599% |
| AMERIHEALTH | REGIONAL HMO | $261.20 | ↑ +601% |
| HORIZON | PPO | $264.00 | ↑ +608% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $37.27 | $37.27 – $170.78 |
| Hackensack University Medical Center | Hackensack | $37.27 | $29.56 – $167.36 |
| Ocean University Medical Center | Brick | $37.27 | $32.80 – $170.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $37.27 | $32.80 – $175.40 |
| Palisades Medical Center | North Bergen | $37.27 | $32.60 – $170.78 |
| Raritan Bay Medical Center | Perth Amboy | $37.27 | $37.27 – $170.78 |
| Riverview Medical Center | Red Bank | $37.27 | $22.86 – $170.78 |
| Southern Ocean Medical Center | Manahawkin | $37.27 | $37.27 – $170.78 |