Cell count w differential body fluid at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5.60
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.
$143.00
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.
$4.48 with OPTUM HEALTH vs $143.00 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 | $4.48 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5.60 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.60 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $5.60 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $5.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6.72 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12.10 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $12.52 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $12.52 | ↑ +124% |
| AETNA | MANAGED MEDICAID | $23.74 | ↑ +324% |
| CIGNA | PPO | $25.66 | ↑ +358% |
| CIGNA | HMO | $25.66 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $33.18 | ↑ +493% |
| QUALCARE | HMO | $83.08 | ↑ +1384% |
| HORIZON | MANAGED MEDICAID | $98.66 | ↑ +1662% |
| AETNA | HMO | $100.10 | ↑ +1688% |
| AETNA | PPO | $100.10 | ↑ +1688% |
| HORIZON | WORKERS COMP | $103.33 | ↑ +1745% |
| BERGEN RISK | ALL PRODUCTS | $107.25 | ↑ +1815% |
| BEACON | ALL PRODUCTS | $107.25 | ↑ +1815% |
| HORIZON | PIP | $108.97 | ↑ +1846% |
| QUALCARE | PPO | $111.11 | ↑ +1884% |
| AETNA | ASA | $111.97 | ↑ +1899% |
| HORIZON | OMNIA | $113.46 | ↑ +1926% |
| CIGNA | BH | $114.40 | ↑ +1943% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $114.40 | ↑ +1943% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $121.55 | ↑ +2071% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $121.55 | ↑ +2071% |
| AMERIHEALTH | LOCAL HMO | $124.92 | ↑ +2131% |
| QUALCARE | WORKERS COMP | $125.84 | ↑ +2147% |
| HORIZON | SHP | $138.81 | ↑ +2379% |
| HORIZON | HMO | $139.54 | ↑ +2392% |
| HORIZON | INDEMNITY | $141.07 | ↑ +2419% |
| AMERIHEALTH | REGIONAL HMO | $141.48 | ↑ +2426% |
| HORIZON | PPO | $143.00 | ↑ +2454% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cell count w differential body fluid at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5.60 | $5.60 – $25.66 |
| Hackensack University Medical Center | Hackensack | $5.60 | $1.34 – $25.15 |
| Ocean University Medical Center | Brick | $5.60 | $0.99 – $25.66 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5.60 | $0.99 – $26.35 |
| Palisades Medical Center | North Bergen | $5.60 | $1.48 – $25.66 |
| Raritan Bay Medical Center | Perth Amboy | $5.60 | $5.60 – $25.66 |
| Riverview Medical Center | Red Bank | $5.60 | $1.04 – $25.66 |
| Southern Ocean Medical Center | Manahawkin | $5.60 | $5.60 – $25.66 |