Surgical pathology level 4 gross & microscopic examination at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$59.14
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.
$1,519.00
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.
$35.69 with AETNA vs $215.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $35.69 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $49.67 | ↓ -16% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $59.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $59.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $64.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $70.97 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $111.21 | ↑ +88% |
| UNITED HEALTHCARE | HMO | $111.21 | ↑ +88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.86 | ↑ +96% |
| QUALCARE | HMO | $124.92 | ↑ +111% |
| KARNA | MEDICARE ADVANTAGE | $130.61 | ↑ +121% |
| HORIZON | MANAGED MEDICAID | $148.33 | ↑ +151% |
| AETNA | HMO | $150.50 | ↑ +154% |
| AETNA | PPO | $150.50 | ↑ +154% |
| HORIZON | WORKERS COMP | $155.36 | ↑ +163% |
| BEACON | ALL PRODUCTS | $161.25 | ↑ +173% |
| BERGEN RISK | ALL PRODUCTS | $161.25 | ↑ +173% |
| HORIZON | PIP | $163.83 | ↑ +177% |
| QUALCARE | PPO | $167.06 | ↑ +182% |
| AETNA | ASA | $168.35 | ↑ +185% |
| HORIZON | OMNIA | $170.58 | ↑ +188% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $172.00 | ↑ +191% |
| CIGNA | BH | $172.00 | ↑ +191% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $182.75 | ↑ +209% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $182.75 | ↑ +209% |
| AMERIHEALTH | LOCAL HMO | $187.82 | ↑ +218% |
| QUALCARE | WORKERS COMP | $189.20 | ↑ +220% |
| CIGNA | HMO | $205.60 | ↑ +248% |
| CIGNA | PPO | $205.60 | ↑ +248% |
| HORIZON | SHP | $208.70 | ↑ +253% |
| HORIZON | HMO | $209.80 | ↑ +255% |
| HORIZON | INDEMNITY | $212.10 | ↑ +259% |
| AMERIHEALTH | REGIONAL HMO | $212.72 | ↑ +260% |
| HORIZON | PPO | $215.00 | ↑ +264% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $80.52 | $23.57 – $182.60 |
| Cooperman Barnabas Medical Center | Livingston | $175.24 | $23.57 – $142.71 |
| Community Medical Center | Toms River | $88.97 | $23.57 – $142.71 |
| Clara Maass Medical Center | Belleville | $162.89 | $23.57 – $142.71 |
| Newark Beth Israel Medical Center | Newark | $172.26 | $23.57 – $142.71 |
| Jersey City Medical Center | Jersey City | $89.14 | $23.57 – $142.71 |
| Monmouth Medical Center | Long Branch | $93.86 | $23.57 – $142.71 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |