Antibody id rbc panel at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$398.16
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.
$495.00
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.
$48.21 with UNITED HEALTHCARE vs $495.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $48.21 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $82.17 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $114.35 | ↓ -71% |
| OXFORD | ALL PRODUCTS | $279.68 | ↓ -30% |
| UNITED HEALTHCARE | HMO | $279.68 | ↓ -30% |
| QUALCARE | HMO | $287.60 | ↓ -28% |
| HORIZON | MANAGED MEDICAID | $341.50 | ↓ -14% |
| AETNA | PPO | $346.50 | ↓ -13% |
| AETNA | HMO | $346.50 | ↓ -13% |
| HORIZON | WORKERS COMP | $357.69 | ↓ -10% |
| BEACON | ALL PRODUCTS | $371.25 | ↓ -7% |
| BERGEN RISK | ALL PRODUCTS | $371.25 | ↓ -7% |
| HORIZON | PIP | $377.19 | ↓ -5% |
| QUALCARE | PPO | $384.62 | ↓ -3% |
| AETNA | ASA | $387.59 | ↓ -3% |
| HORIZON | OMNIA | $392.73 | ↓ -1% |
| CIGNA | BH | $396.00 | ↓ -1% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $396.00 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $398.16 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $398.16 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $398.16 | ↑ +0% |
| VACCN | ALL PRODUCTS | $398.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $398.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $418.07 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $420.75 | ↑ +6% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $420.75 | ↑ +6% |
| AMERIHEALTH | LOCAL HMO | $432.43 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $433.99 | ↑ +9% |
| QUALCARE | WORKERS COMP | $435.60 | ↑ +9% |
| CIGNA | PPO | $473.37 | ↑ +19% |
| CIGNA | HMO | $473.37 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $477.79 | ↑ +20% |
| HORIZON | SHP | $480.50 | ↑ +21% |
| HORIZON | HMO | $483.02 | ↑ +21% |
| HORIZON | INDEMNITY | $488.32 | ↑ +23% |
| AMERIHEALTH | REGIONAL HMO | $489.75 | ↑ +23% |
| HORIZON | PPO | $495.00 | ↑ +24% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Antibody id rbc panel at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $398.16 | $48.21 – $597.81 |
| Hackensack University Medical Center | Hackensack | $423.63 | $13.38 – $444.81 |
| Ocean University Medical Center | Brick | $393.13 | $9.90 – $393.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $398.51 | $9.90 – $634.95 |
| Palisades Medical Center | North Bergen | $423.63 | $14.76 – $1,228.50 |
| Raritan Bay Medical Center | Perth Amboy | $398.51 | $48.21 – $597.81 |
| Riverview Medical Center | Red Bank | $398.16 | $10.35 – $597.81 |
| Southern Ocean Medical Center | Manahawkin | $393.13 | $48.21 – $428.51 |