Procalcitonin at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$27.22
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.
$354.00
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.
$21.78 with OPTUM HEALTH vs $342.00 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 | $21.78 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $27.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $27.22 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $27.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.22 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $27.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.66 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $35.45 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $43.61 | ↑ +60% |
| AETNA | MANAGED MEDICAID | $56.77 | ↑ +109% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $79.34 | ↑ +191% |
| CIGNA | PPO | $124.73 | ↑ +358% |
| CIGNA | HMO | $124.73 | ↑ +358% |
| UNITED HEALTHCARE | HMO | $193.23 | ↑ +610% |
| OXFORD | ALL PRODUCTS | $193.23 | ↑ +610% |
| QUALCARE | HMO | $198.70 | ↑ +630% |
| HORIZON | MANAGED MEDICAID | $235.95 | ↑ +767% |
| AETNA | PPO | $239.40 | ↑ +780% |
| AETNA | HMO | $239.40 | ↑ +780% |
| HORIZON | WORKERS COMP | $247.13 | ↑ +808% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +842% |
| BEACON | ALL PRODUCTS | $256.50 | ↑ +842% |
| HORIZON | PIP | $260.60 | ↑ +857% |
| QUALCARE | PPO | $265.73 | ↑ +876% |
| AETNA | ASA | $267.79 | ↑ +884% |
| HORIZON | OMNIA | $271.34 | ↑ +897% |
| CIGNA | BH | $273.60 | ↑ +905% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $273.60 | ↑ +905% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +968% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $290.70 | ↑ +968% |
| AMERIHEALTH | LOCAL HMO | $298.77 | ↑ +998% |
| QUALCARE | WORKERS COMP | $300.96 | ↑ +1006% |
| HORIZON | SHP | $331.98 | ↑ +1120% |
| HORIZON | HMO | $333.72 | ↑ +1126% |
| HORIZON | INDEMNITY | $337.38 | ↑ +1139% |
| AMERIHEALTH | REGIONAL HMO | $338.37 | ↑ +1143% |
| HORIZON | PPO | $342.00 | ↑ +1156% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Procalcitonin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $29.94 | $12.79 – $110.82 |
| Cooperman Barnabas Medical Center | Livingston | $29.94 | $12.79 – $110.82 |
| Community Medical Center | Toms River | $29.94 | $12.79 – $110.82 |
| Clara Maass Medical Center | Belleville | $29.94 | $12.79 – $110.82 |
| Childrens Specialized Hospital | Mountainside | $94.00 | $21.78 – $22.43 |
| Newark Beth Israel Medical Center | Newark | $29.94 | $12.79 – $110.82 |
| Jersey City Medical Center | Jersey City | $29.94 | $12.79 – $110.82 |
| Monmouth Medical Center | Long Branch | $29.94 | $12.79 – $110.82 |