Pinworm exam at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4.27
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.
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What you pay up front if you don't use insurance.
$29.00
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.
$3.42 with OPTUM HEALTH vs $29.00 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 | $3.42 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $4.27 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $4.27 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4.27 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4.27 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.65 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $4.81 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $5.12 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $5.56 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6.73 | ↑ +58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.36 | ↑ +119% |
| OXFORD | ALL PRODUCTS | $9.54 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $9.54 | ↑ +123% |
| QUALCARE | HMO | $16.85 | ↑ +295% |
| CIGNA | PPO | $19.57 | ↑ +358% |
| CIGNA | HMO | $19.57 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | $20.01 | ↑ +369% |
| AETNA | PPO | $20.30 | ↑ +375% |
| AETNA | HMO | $20.30 | ↑ +375% |
| HORIZON | WORKERS COMP | $20.96 | ↑ +391% |
| BERGEN RISK | ALL PRODUCTS | $21.75 | ↑ +409% |
| BEACON | ALL PRODUCTS | $21.75 | ↑ +409% |
| HORIZON | PIP | $22.10 | ↑ +418% |
| QUALCARE | PPO | $22.53 | ↑ +428% |
| AETNA | ASA | $22.71 | ↑ +432% |
| HORIZON | OMNIA | $23.01 | ↑ +439% |
| CIGNA | BH | $23.20 | ↑ +443% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $23.20 | ↑ +443% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $24.65 | ↑ +477% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $24.65 | ↑ +477% |
| AMERIHEALTH | LOCAL HMO | $25.33 | ↑ +493% |
| QUALCARE | WORKERS COMP | $25.52 | ↑ +498% |
| HORIZON | SHP | $28.15 | ↑ +559% |
| HORIZON | HMO | $28.30 | ↑ +563% |
| HORIZON | INDEMNITY | $28.61 | ↑ +570% |
| AMERIHEALTH | REGIONAL HMO | $28.69 | ↑ +572% |
| HORIZON | PPO | $29.00 | ↑ +579% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pinworm exam at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4.70 | $2.01 – $21.30 |
| Cooperman Barnabas Medical Center | Livingston | $4.70 | $2.01 – $17.35 |
| Community Medical Center | Toms River | $4.70 | $2.01 – $17.35 |
| Clara Maass Medical Center | Belleville | $4.70 | $2.01 – $17.35 |
| Childrens Specialized Hospital | Mountainside | $29.50 | $3.42 – $3.52 |
| Newark Beth Israel Medical Center | Newark | $4.70 | $2.01 – $17.35 |
| Jersey City Medical Center | Jersey City | $4.70 | $2.01 – $17.35 |
| Monmouth Medical Center | Long Branch | $4.70 | $2.01 – $17.35 |