Carbohydrate deficient transf - sendout at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$18.06
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.
$842.00
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.
$14.45 with OPTUM HEALTH vs $97.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $14.45 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $16.10 | ↓ -11% |
| CLOVER | MEDICARE ADVANTAGE | $18.06 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $18.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $18.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $18.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.06 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.67 | ↑ +20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $22.50 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $23.52 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $39.64 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $54.81 | ↑ +203% |
| OXFORD | ALL PRODUCTS | $54.81 | ↑ +203% |
| QUALCARE | HMO | $56.36 | ↑ +212% |
| HORIZON | MANAGED MEDICAID | $66.92 | ↑ +271% |
| AETNA | PPO | $67.90 | ↑ +276% |
| AETNA | HMO | $67.90 | ↑ +276% |
| HORIZON | WORKERS COMP | $70.09 | ↑ +288% |
| BERGEN RISK | ALL PRODUCTS | $72.75 | ↑ +303% |
| BEACON | ALL PRODUCTS | $72.75 | ↑ +303% |
| HORIZON | PIP | $73.91 | ↑ +309% |
| QUALCARE | PPO | $75.37 | ↑ +317% |
| AETNA | ASA | $75.95 | ↑ +321% |
| HORIZON | OMNIA | $76.96 | ↑ +326% |
| CIGNA | BH | $77.60 | ↑ +330% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $77.60 | ↑ +330% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $82.45 | ↑ +357% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $82.45 | ↑ +357% |
| CIGNA | PPO | $82.76 | ↑ +358% |
| CIGNA | HMO | $82.76 | ↑ +358% |
| AMERIHEALTH | LOCAL HMO | $84.74 | ↑ +369% |
| QUALCARE | WORKERS COMP | $85.36 | ↑ +373% |
| HORIZON | SHP | $94.16 | ↑ +421% |
| HORIZON | HMO | $94.65 | ↑ +424% |
| HORIZON | INDEMNITY | $95.69 | ↑ +430% |
| AMERIHEALTH | REGIONAL HMO | $95.97 | ↑ +431% |
| HORIZON | PPO | $97.00 | ↑ +437% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Carbohydrate deficient transf - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $18.06 | $18.06 – $82.76 |
| Hackensack University Medical Center | Hackensack | $18.06 | $14.45 – $81.10 |
| Ocean University Medical Center | Brick | $18.06 | $8.75 – $82.76 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $18.06 | $8.75 – $84.99 |
| Palisades Medical Center | North Bergen | $18.06 | $16.78 – $82.76 |
| Raritan Bay Medical Center | Perth Amboy | $18.06 | $18.06 – $82.76 |
| Riverview Medical Center | Red Bank | $18.06 | $11.76 – $82.76 |
| Southern Ocean Medical Center | Manahawkin | $18.06 | $18.06 – $82.76 |