Blood typing patient serum at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$65.75
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.
$292.00
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.
$16.34 with CLOVER vs $292.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $16.34 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.34 | ↓ -75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.86 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $21.28 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $48.47 | ↓ -26% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| CIGNA | HMO | $74.88 | ↑ +14% |
| CIGNA | PPO | $74.88 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $164.98 | ↑ +151% |
| UNITED HEALTHCARE | HMO | $164.98 | ↑ +151% |
| QUALCARE | HMO | $169.65 | ↑ +158% |
| HORIZON | MANAGED MEDICAID | $201.45 | ↑ +206% |
| AETNA | PPO | $204.40 | ↑ +211% |
| AETNA | HMO | $204.40 | ↑ +211% |
| HORIZON | WORKERS COMP | $211.00 | ↑ +221% |
| BEACON | ALL PRODUCTS | $219.00 | ↑ +233% |
| BERGEN RISK | ALL PRODUCTS | $219.00 | ↑ +233% |
| HORIZON | PIP | $222.50 | ↑ +238% |
| QUALCARE | PPO | $226.88 | ↑ +245% |
| AETNA | ASA | $228.64 | ↑ +248% |
| HORIZON | OMNIA | $231.67 | ↑ +252% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $233.60 | ↑ +255% |
| CIGNA | BH | $233.60 | ↑ +255% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $248.20 | ↑ +277% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $248.20 | ↑ +277% |
| AMERIHEALTH | LOCAL HMO | $255.09 | ↑ +288% |
| QUALCARE | WORKERS COMP | $256.96 | ↑ +291% |
| HORIZON | SHP | $283.44 | ↑ +331% |
| HORIZON | HMO | $284.93 | ↑ +333% |
| HORIZON | INDEMNITY | $288.06 | ↑ +338% |
| AMERIHEALTH | REGIONAL HMO | $288.90 | ↑ +339% |
| HORIZON | PPO | $292.00 | ↑ +344% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Blood typing patient serum at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $16.34 – $74.88 |
| Hackensack University Medical Center | Hackensack | $69.95 | $16.34 – $73.45 |
| Ocean University Medical Center | Brick | $64.92 | $12.87 – $74.88 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $12.87 – $76.90 |
| Palisades Medical Center | North Bergen | $69.95 | $16.34 – $76.25 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $16.34 – $74.88 |
| Riverview Medical Center | Red Bank | $65.75 | $14.80 – $74.88 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $16.34 – $74.88 |