Antithrombin iii injection at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4.09
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.
$23.17
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.
$3.47 with CLOVER vs $19.29 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $3.47 | ↓ -15% |
| HORIZON | MANAGED MEDICAID | $3.48 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.29 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4.91 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $5.04 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $5.61 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $6.14 | ↑ +50% |
| WELLCARE | MEDICARE ADVANTAGE | $8.68 | ↑ +112% |
| WELLCARE | MANAGED MEDICAID | $8.68 | ↑ +112% |
| AETNA | MANAGED MEDICAID | $9.45 | ↑ +131% |
| CIGNA | PPO | $9.55 | ↑ +133% |
| CIGNA | HMO | $9.55 | ↑ +133% |
| AMERIGROUP | MANAGED MEDICAID | $9.65 | ↑ +136% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.65 | ↑ +136% |
| QUALCARE | PPO | $9.93 | ↑ +143% |
| QUALCARE | WORKERS COMP | $9.93 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $10.90 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $10.90 | ↑ +167% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11.36 | ↑ +178% |
| BERGEN RISK | ALL PRODUCTS | $11.57 | ↑ +183% |
| BEACON | ALL PRODUCTS | $11.57 | ↑ +183% |
| AETNA | PPO | $11.69 | ↑ +186% |
| AETNA | HMO | $11.69 | ↑ +186% |
| HORIZON | WORKERS COMP | $13.94 | ↑ +241% |
| HORIZON | PIP | $14.70 | ↑ +259% |
| AETNA | ASA | $15.10 | ↑ +269% |
| HORIZON | OMNIA | $15.30 | ↑ +274% |
| CIGNA | BH | $15.43 | ↑ +277% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16.40 | ↑ +301% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16.40 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17.36 | ↑ +324% |
| HORIZON | SHP | $18.72 | ↑ +358% |
| HORIZON | HMO | $18.82 | ↑ +360% |
| HORIZON | INDEMNITY | $19.03 | ↑ +365% |
| HORIZON | PPO | $19.29 | ↑ +372% |
| QUALCARE | HMO | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Antithrombin iii injection at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4.09 | $3.48 – $7.62 |
| Palisades Medical Center | North Bergen | $3.85 | $3.48 – $7.62 |
| Raritan Bay Medical Center | Perth Amboy | $4.09 | $3.48 – $7.62 |
| Riverview Medical Center | Red Bank | $4.09 | $3.48 – $7.62 |
| Southern Ocean Medical Center | Manahawkin | $4.09 | $3.48 – $5.04 |