Test for porphobilinogen at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5.82
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.
$1,395.00
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.
$4.66 with OPTUM HEALTH vs $1,395.00 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 | $4.66 | ↓ -20% |
| VACCN | ALL PRODUCTS | $5.82 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5.82 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5.82 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5.82 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.82 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $5.82 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $5.82 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6.34 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6.98 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $7.58 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.41 | ↑ +62% |
| CIGNA | HMO | $26.67 | ↑ +358% |
| CIGNA | PPO | $26.67 | ↑ +358% |
| AETNA | MANAGED MEDICAID | $231.57 | ↑ +3879% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $323.64 | ↑ +5461% |
| OXFORD | ALL PRODUCTS | $788.18 | ↑ +13443% |
| UNITED HEALTHCARE | HMO | $788.18 | ↑ +13443% |
| QUALCARE | HMO | $810.50 | ↑ +13826% |
| HORIZON | MANAGED MEDICAID | $962.41 | ↑ +16436% |
| AETNA | HMO | $976.50 | ↑ +16678% |
| AETNA | PPO | $976.50 | ↑ +16678% |
| HORIZON | WORKERS COMP | $1,008.03 | ↑ +17220% |
| BERGEN RISK | ALL PRODUCTS | $1,046.25 | ↑ +17877% |
| BEACON | ALL PRODUCTS | $1,046.25 | ↑ +17877% |
| HORIZON | PIP | $1,062.99 | ↑ +18164% |
| QUALCARE | PPO | $1,083.92 | ↑ +18524% |
| AETNA | ASA | $1,092.29 | ↑ +18668% |
| HORIZON | OMNIA | $1,106.79 | ↑ +18917% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,116.00 | ↑ +19075% |
| CIGNA | BH | $1,116.00 | ↑ +19075% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,185.75 | ↑ +20274% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,185.75 | ↑ +20274% |
| AMERIHEALTH | LOCAL HMO | $1,218.67 | ↑ +20839% |
| QUALCARE | WORKERS COMP | $1,227.60 | ↑ +20993% |
| HORIZON | SHP | $1,354.13 | ↑ +23167% |
| HORIZON | HMO | $1,361.24 | ↑ +23289% |
| HORIZON | INDEMNITY | $1,376.17 | ↑ +23546% |
| AMERIHEALTH | REGIONAL HMO | $1,380.21 | ↑ +23615% |
| HORIZON | PPO | $1,395.00 | ↑ +23869% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Test for porphobilinogen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $6.40 | $1.84 – $24.03 |
| Cooperman Barnabas Medical Center | Livingston | $6.40 | $2.74 – $24.03 |
| Community Medical Center | Toms River | $6.40 | $2.74 – $24.03 |
| Clara Maass Medical Center | Belleville | $6.40 | $2.74 – $24.03 |
| Newark Beth Israel Medical Center | Newark | $6.40 | $2.74 – $24.03 |
| Jersey City Medical Center | Jersey City | $6.40 | $2.38 – $24.03 |
| Monmouth Medical Center | Long Branch | $6.40 | $2.74 – $24.03 |
| Bayshore Medical Center | Holmdel | $5.82 | $5.82 – $26.67 |