M.pneumon dna quant at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$302.62
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.
not published by hospital
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.
$91.64 with UNITED HEALTHCARE vs $1,386.71 with CIGNA — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $91.64 | ↓ -70% |
| OPTUM HEALTH | MANAGED MEDICAID | $242.10 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $302.62 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $302.62 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $302.62 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $302.62 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $317.75 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $329.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $363.14 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $394.16 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $676.36 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $676.36 | ↑ +124% |
| CIGNA | PPO | $1,386.71 | ↑ +358% |
| CIGNA | HMO | $1,386.71 | ↑ +358% |
Visitor-reported prices
Comments
M.pneumon dna quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $332.88 | $20.40 – $1,233.75 |
| Cooperman Barnabas Medical Center | Livingston | $332.88 | $38.79 – $1,233.75 |
| Community Medical Center | Toms River | $332.88 | $38.79 – $1,233.75 |
| Clara Maass Medical Center | Belleville | $332.88 | $38.79 – $1,233.75 |
| Newark Beth Israel Medical Center | Newark | $332.88 | $38.79 – $1,233.75 |
| Jersey City Medical Center | Jersey City | $332.88 | $26.40 – $1,233.75 |
| Monmouth Medical Center | Long Branch | $332.88 | $38.79 – $1,233.75 |
| Bayshore Medical Center | Holmdel | $302.62 | $91.64 – $1,386.71 |