Pten gene known fam variant at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$46.60
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.
$287.00
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.
$37.28 with OPTUM HEALTH vs $287.00 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 | $37.28 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $46.60 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $46.60 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.60 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $46.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $46.60 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $47.64 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $50.79 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $55.92 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $60.70 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $66.58 | ↑ +43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $91.75 | ↑ +97% |
| OXFORD | ALL PRODUCTS | $162.16 | ↑ +248% |
| UNITED HEALTHCARE | HMO | $162.16 | ↑ +248% |
| QUALCARE | HMO | $166.75 | ↑ +258% |
| HORIZON | MANAGED MEDICAID | $198.00 | ↑ +325% |
| AETNA | PPO | $200.90 | ↑ +331% |
| AETNA | HMO | $200.90 | ↑ +331% |
| HORIZON | WORKERS COMP | $207.39 | ↑ +345% |
| CIGNA | PPO | $213.54 | ↑ +358% |
| CIGNA | HMO | $213.54 | ↑ +358% |
| BEACON | ALL PRODUCTS | $215.25 | ↑ +362% |
| BERGEN RISK | ALL PRODUCTS | $215.25 | ↑ +362% |
| HORIZON | PIP | $218.69 | ↑ +369% |
| QUALCARE | PPO | $223.00 | ↑ +379% |
| AETNA | ASA | $224.72 | ↑ +382% |
| HORIZON | OMNIA | $227.71 | ↑ +389% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $229.60 | ↑ +393% |
| CIGNA | BH | $229.60 | ↑ +393% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $243.95 | ↑ +423% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.95 | ↑ +423% |
| AMERIHEALTH | LOCAL HMO | $250.72 | ↑ +438% |
| QUALCARE | WORKERS COMP | $252.56 | ↑ +442% |
| HORIZON | SHP | $278.59 | ↑ +498% |
| HORIZON | HMO | $280.05 | ↑ +501% |
| HORIZON | INDEMNITY | $283.13 | ↑ +508% |
| AMERIHEALTH | REGIONAL HMO | $283.96 | ↑ +509% |
| HORIZON | PPO | $287.00 | ↑ +516% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pten gene known fam variant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $51.26 | $21.90 – $189.61 |
| Cooperman Barnabas Medical Center | Livingston | $51.26 | $21.90 – $189.61 |
| Community Medical Center | Toms River | $51.26 | $21.90 – $189.61 |
| Clara Maass Medical Center | Belleville | $51.26 | $21.90 – $189.61 |
| Newark Beth Israel Medical Center | Newark | $51.26 | $21.90 – $189.61 |
| Jersey City Medical Center | Jersey City | $51.26 | $21.90 – $189.61 |
| Monmouth Medical Center | Long Branch | $51.26 | $21.90 – $189.61 |
| Bayshore Medical Center | Holmdel | $46.60 | $46.60 – $213.54 |