Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,167.89
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.
$4,347.00
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.
$152.09 with KARNA vs $12,082.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $152.09 | ↓ -95% |
| AETNA | MANAGED MEDICAID | $721.60 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $782.46 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $921.56 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,004.16 | ↓ -68% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,008.50 | ↓ -68% |
| CIGNA | HMO | $2,247.00 | ↓ -29% |
| CIGNA | PPO | $2,518.00 | ↓ -21% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,560.38 | ↓ -19% |
| OXFORD | ALL PRODUCTS | $2,962.05 | ↓ -6% |
| HORIZON | MANAGED MEDICAID | $2,999.00 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $3,167.89 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,167.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,167.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,167.89 | ↑ +0% |
| BEACON | ALL PRODUCTS | $3,260.25 | ↑ +3% |
| BERGEN RISK | ALL PRODUCTS | $3,260.25 | ↑ +3% |
| HORIZON | PIP | $3,312.41 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,326.28 | ↑ +5% |
| QUALCARE | PPO | $3,377.62 | ↑ +7% |
| QUALCARE | HMO | $3,377.62 | ↑ +7% |
| AETNA | ASA | $3,403.70 | ↑ +7% |
| CIGNA | BH | $3,477.60 | ↑ +10% |
| UNITED HEALTHCARE | HMO | $3,693.65 | ↑ +17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,694.95 | ↑ +17% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,694.95 | ↑ +17% |
| AMERIHEALTH | LOCAL HMO | $3,797.54 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $3,801.47 | ↑ +20% |
| QUALCARE | WORKERS COMP | $3,825.36 | ↑ +21% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,912.30 | ↑ +23% |
| AETNA | PPO | $3,912.30 | ↑ +23% |
| AETNA | HMO | $3,912.30 | ↑ +23% |
| AMERIHEALTH | REGIONAL HMO | $4,300.92 | ↑ +36% |
| HORIZON | OMNIA | $9,533.00 | ↑ +201% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +220% |
| HORIZON | SHP | $10,970.00 | ↑ +246% |
| HORIZON | HMO | $11,776.00 | ↑ +272% |
| HORIZON | INDEMNITY | $11,886.00 | ↑ +275% |
| HORIZON | PPO | $12,082.00 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |
| Hackensack University Medical Center | Hackensack | $3,370.52 | $156.66 – $3,539.05 |
| Ocean University Medical Center | Brick | $3,127.88 | $152.09 – $3,753.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,170.64 | $156.66 – $3,170.64 |
| Palisades Medical Center | North Bergen | $3,370.52 | $156.66 – $3,673.87 |
| Raritan Bay Medical Center | Perth Amboy | $3,170.64 | $156.66 – $3,804.76 |
| Riverview Medical Center | Red Bank | $3,167.89 | $152.09 – $3,801.47 |
| Southern Ocean Medical Center | Manahawkin | $3,127.88 | $152.09 – $3,753.45 |