Infectious agent nucleic acid amplified probe streptococcus group a at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$35.09
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.
$176.00
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.
$28.07 with OPTUM HEALTH vs $176.00 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 | $28.07 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $29.22 | ↓ -17% |
| CLOVER | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $35.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35.09 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $38.25 | ↑ +9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.83 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $42.11 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $45.70 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $77.04 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $78.43 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $78.43 | ↑ +124% |
| QUALCARE | HMO | $102.26 | ↑ +191% |
| HORIZON | MANAGED MEDICAID | $121.42 | ↑ +246% |
| AETNA | PPO | $123.20 | ↑ +251% |
| AETNA | HMO | $123.20 | ↑ +251% |
| HORIZON | WORKERS COMP | $127.18 | ↑ +262% |
| BERGEN RISK | ALL PRODUCTS | $132.00 | ↑ +276% |
| BEACON | ALL PRODUCTS | $132.00 | ↑ +276% |
| HORIZON | PIP | $134.11 | ↑ +282% |
| QUALCARE | PPO | $136.75 | ↑ +290% |
| AETNA | ASA | $137.81 | ↑ +293% |
| HORIZON | OMNIA | $139.64 | ↑ +298% |
| CIGNA | BH | $140.80 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $140.80 | ↑ +301% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $149.60 | ↑ +326% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $149.60 | ↑ +326% |
| AMERIHEALTH | LOCAL HMO | $153.75 | ↑ +338% |
| QUALCARE | WORKERS COMP | $154.88 | ↑ +341% |
| CIGNA | PPO | $160.79 | ↑ +358% |
| CIGNA | HMO | $160.79 | ↑ +358% |
| HORIZON | SHP | $170.84 | ↑ +387% |
| HORIZON | HMO | $171.74 | ↑ +389% |
| HORIZON | INDEMNITY | $173.62 | ↑ +395% |
| AMERIHEALTH | REGIONAL HMO | $174.13 | ↑ +396% |
| HORIZON | PPO | $176.00 | ↑ +402% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe streptococcus group a at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $38.60 | $16.49 – $147.60 |
| Cooperman Barnabas Medical Center | Livingston | $38.60 | $16.49 – $142.88 |
| Community Medical Center | Toms River | $38.60 | $16.49 – $142.88 |
| Clara Maass Medical Center | Belleville | $38.60 | $16.49 – $142.88 |
| Newark Beth Israel Medical Center | Newark | $38.60 | $16.49 – $142.88 |
| Jersey City Medical Center | Jersey City | $38.60 | $16.49 – $142.88 |
| Monmouth Medical Center | Long Branch | $38.60 | $16.49 – $142.88 |
| Bayshore Medical Center | Holmdel | $35.09 | $35.09 – $160.79 |