Serpina1 gene at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$43.65
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.
$1,175.00
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.
$9.70 with HORIZON vs $200.02 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $9.70 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $16.10 | ↓ -63% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $22.50 | ↓ -48% |
| OPTUM HEALTH | MANAGED MEDICAID | $34.92 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $43.65 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $43.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.65 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.65 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $43.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.65 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $43.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.58 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $52.38 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $54.81 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $54.81 | ↑ +26% |
| QUALCARE | HMO | $56.36 | ↑ +29% |
| KARNA | MEDICARE ADVANTAGE | $56.85 | ↑ +30% |
| AETNA | HMO | $67.90 | ↑ +56% |
| AETNA | PPO | $67.90 | ↑ +56% |
| HORIZON | WORKERS COMP | $70.09 | ↑ +61% |
| BEACON | ALL PRODUCTS | $72.75 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $72.75 | ↑ +67% |
| HORIZON | PIP | $73.91 | ↑ +69% |
| QUALCARE | PPO | $75.37 | ↑ +73% |
| AETNA | ASA | $75.95 | ↑ +74% |
| HORIZON | OMNIA | $76.96 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $77.60 | ↑ +78% |
| CIGNA | BH | $77.60 | ↑ +78% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $82.45 | ↑ +89% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $82.45 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $84.74 | ↑ +94% |
| QUALCARE | WORKERS COMP | $85.36 | ↑ +96% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.55 | ↑ +114% |
| HORIZON | SHP | $94.16 | ↑ +116% |
| HORIZON | HMO | $94.65 | ↑ +117% |
| HORIZON | INDEMNITY | $95.69 | ↑ +119% |
| AMERIHEALTH | REGIONAL HMO | $95.97 | ↑ +120% |
| HORIZON | PPO | $97.00 | ↑ +122% |
| CIGNA | HMO | $200.02 | ↑ +358% |
| CIGNA | PPO | $200.02 | ↑ +358% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Serpina1 gene at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $48.02 | $20.52 – $177.58 |
| Cooperman Barnabas Medical Center | Livingston | $48.02 | $20.52 – $177.58 |
| Community Medical Center | Toms River | $48.02 | $20.52 – $177.58 |
| Clara Maass Medical Center | Belleville | $48.02 | $20.52 – $177.58 |
| Newark Beth Israel Medical Center | Newark | $48.02 | $20.52 – $177.58 |
| Jersey City Medical Center | Jersey City | $48.02 | $20.52 – $177.58 |
| Monmouth Medical Center | Long Branch | $48.02 | $20.52 – $177.58 |
| Bayshore Medical Center | Holmdel | $43.65 | $43.65 – $200.02 |