Collection of venous blood by venipuncture at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$9.09
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.
$2,145.00
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.
$4.71 with UNITED HEALTHCARE vs $44.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $4.71 | ↓ -48% |
| OXFORD | ALL PRODUCTS | $6.71 | ↓ -26% |
| UNITED HEALTHCARE | HMO | $6.71 | ↓ -26% |
| OPTUM HEALTH | MANAGED MEDICAID | $7.27 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $7.30 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $9.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9.09 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.09 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $9.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $9.91 | ↑ +9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $10.21 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $10.91 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $11.50 | ↑ +27% |
| CIGNA | HMO | $13.75 | ↑ +51% |
| CIGNA | PPO | $13.75 | ↑ +51% |
| QUALCARE | HMO | $25.56 | ↑ +181% |
| HORIZON | MANAGED MEDICAID | $30.36 | ↑ +234% |
| HORIZON | WORKERS COMP | $31.79 | ↑ +250% |
| BERGEN RISK | ALL PRODUCTS | $33.00 | ↑ +263% |
| BEACON | ALL PRODUCTS | $33.00 | ↑ +263% |
| HORIZON | PIP | $33.53 | ↑ +269% |
| QUALCARE | PPO | $34.19 | ↑ +276% |
| AETNA | ASA | $34.45 | ↑ +279% |
| HORIZON | OMNIA | $34.91 | ↑ +284% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35.20 | ↑ +287% |
| CIGNA | BH | $35.20 | ↑ +287% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $37.40 | ↑ +311% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $37.40 | ↑ +311% |
| AMERIHEALTH | LOCAL HMO | $38.44 | ↑ +323% |
| QUALCARE | WORKERS COMP | $38.72 | ↑ +326% |
| AETNA | HMO | $39.60 | ↑ +336% |
| AETNA | PPO | $39.60 | ↑ +336% |
| HORIZON | SHP | $42.71 | ↑ +370% |
| HORIZON | HMO | $42.94 | ↑ +372% |
| HORIZON | INDEMNITY | $43.41 | ↑ +378% |
| AMERIHEALTH | REGIONAL HMO | $43.53 | ↑ +379% |
| HORIZON | PPO | $44.00 | ↑ +384% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $18.80 | $6.82 – $26.41 |
| Bayshore Medical Center | Holmdel | $9.09 | $4.71 – $13.75 |
| Hackensack University Medical Center | Hackensack | $9.09 | $2.94 – $13.47 |
| Ocean University Medical Center | Brick | $9.09 | $1.98 – $13.75 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9.09 | $1.98 – $14.12 |
| Palisades Medical Center | North Bergen | $9.09 | $3.25 – $13.75 |
| Raritan Bay Medical Center | Perth Amboy | $9.09 | $4.71 – $13.75 |
| Riverview Medical Center | Red Bank | $9.09 | $2.28 – $13.75 |