Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$52.47
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.
$253.00
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.
$16.49 with United Healthcare vs $231.46 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| United Healthcare | Nexus | $16.49 | ↓ -69% |
| United Healthcare | Oxford Metro | $16.49 | ↓ -69% |
| United Healthcare | Commercial | $19.30 | ↓ -63% |
| United Healthcare | Oxford Commercial | $19.30 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $23.03 | ↓ -56% |
| Amerihealth | Local Value | $27.14 | ↓ -48% |
| Amerihealth | Regional Preferred | $27.14 | ↓ -48% |
| United Healthcare | Community Plan | $31.39 | ↓ -40% |
| Fidelis Care | NJ Family Care | $31.97 | ↓ -39% |
| Aetna | Better Health | $34.35 | ↓ -35% |
| Aetna | Medicare | $35.09 | ↓ -33% |
| Fidelis Care | Medicare Advantage | $35.09 | ↓ -33% |
| Humana | Medicare | $35.09 | ↓ -33% |
| Wellpoint | Medicare Advantage | $35.09 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $35.09 | ↓ -33% |
| Clover Health | Medicare Advantage | $35.09 | ↓ -33% |
| United Healthcare | Medicare | $35.79 | ↓ -32% |
| Aetna | PPO | $42.11 | ↓ -20% |
| Aetna | HMO | $42.11 | ↓ -20% |
| Emblem Health | Commercial | $61.41 | ↑ +17% |
| Wellcare | Ambetter Health Commercial | $69.83 | ↑ +33% |
| Wellpoint | NJ Family Care | $144.21 | ↑ +175% |
| Cigna | Local Plus | $150.28 | ↑ +186% |
| First Health | Commercial | $151.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $164.32 | ↑ +213% |
| Qualcare Inc | HMO/POS | $168.75 | ↑ +222% |
| Qualcare Inc | PPO/WC | $179.88 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $189.75 | ↑ +262% |
| Cigna | HMO | $190.96 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $199.21 | ↑ +280% |
| Cigna | PPO | $201.13 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $202.47 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $215.05 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $231.46 | ↑ +341% |
Visitor-reported prices
Comments
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $47.48 | $16.49 – $70.18 |
| Cooperman Barnabas Medical Center | Livingston | $33.69 | $16.49 – $70.18 |
| Clara Maass Medical Center | Belleville | $19.69 | $16.49 – $69.83 |
| Newark Beth Israel Medical Center | Newark | $33.11 | $16.49 – $70.18 |
| Jersey City Medical Center | Jersey City | $52.57 | $16.49 – $69.83 |
| Monmouth Medical Center | Long Branch | $55.35 | $16.49 – $69.83 |
| Bayshore Medical Center | Holmdel | $35.09 | $35.09 – $42.11 |
| Hackensack University Medical Center | Hackensack | $35.09 | $20.87 – $43.86 |