Strep a ag ia at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$16.81
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.
$114.00
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.
$13.45 with OPTUM HEALTH vs $114.00 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 | $13.45 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $16.81 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $16.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $16.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $16.81 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $16.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $16.81 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.65 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $18.32 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $18.92 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $20.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $21.90 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $26.45 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $37.57 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $37.57 | ↑ +123% |
| QUALCARE | HMO | $66.23 | ↑ +294% |
| CIGNA | PPO | $77.03 | ↑ +358% |
| CIGNA | HMO | $77.03 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | $78.65 | ↑ +368% |
| AETNA | HMO | $79.80 | ↑ +375% |
| AETNA | PPO | $79.80 | ↑ +375% |
| HORIZON | WORKERS COMP | $82.38 | ↑ +390% |
| BEACON | ALL PRODUCTS | $85.50 | ↑ +409% |
| BERGEN RISK | ALL PRODUCTS | $85.50 | ↑ +409% |
| HORIZON | PIP | $86.87 | ↑ +417% |
| QUALCARE | PPO | $88.58 | ↑ +427% |
| AETNA | ASA | $89.26 | ↑ +431% |
| HORIZON | OMNIA | $90.45 | ↑ +438% |
| CIGNA | BH | $91.20 | ↑ +443% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $91.20 | ↑ +443% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $96.90 | ↑ +476% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $96.90 | ↑ +476% |
| AMERIHEALTH | LOCAL HMO | $99.59 | ↑ +492% |
| QUALCARE | WORKERS COMP | $100.32 | ↑ +497% |
| HORIZON | SHP | $110.66 | ↑ +558% |
| HORIZON | HMO | $111.24 | ↑ +562% |
| HORIZON | INDEMNITY | $112.46 | ↑ +569% |
| AMERIHEALTH | REGIONAL HMO | $112.79 | ↑ +571% |
| HORIZON | PPO | $114.00 | ↑ +578% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Strep a ag ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $18.49 | $7.90 – $68.10 |
| Cooperman Barnabas Medical Center | Livingston | $18.49 | $7.90 – $68.10 |
| Community Medical Center | Toms River | $18.49 | $7.90 – $68.10 |
| Clara Maass Medical Center | Belleville | $18.49 | $7.90 – $68.10 |
| Newark Beth Israel Medical Center | Newark | $18.49 | $7.90 – $68.10 |
| Jersey City Medical Center | Jersey City | $18.49 | $7.90 – $68.10 |
| Monmouth Medical Center | Long Branch | $18.49 | $7.90 – $68.10 |
| Bayshore Medical Center | Holmdel | $16.81 | $16.81 – $77.03 |