Culture anaerobic except blood at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$9.47
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.
$138.00
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.
$7.58 with OPTUM HEALTH vs $138.00 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 | $7.58 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $9.47 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $9.47 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.47 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.47 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9.47 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.32 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11.36 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $12.33 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.77 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $21.17 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $21.17 | ↑ +124% |
| AETNA | MANAGED MEDICAID | $22.91 | ↑ +142% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.02 | ↑ +238% |
| CIGNA | HMO | $43.39 | ↑ +358% |
| CIGNA | PPO | $43.39 | ↑ +358% |
| QUALCARE | HMO | $80.18 | ↑ +747% |
| HORIZON | MANAGED MEDICAID | $95.21 | ↑ +905% |
| AETNA | PPO | $96.60 | ↑ +920% |
| AETNA | HMO | $96.60 | ↑ +920% |
| HORIZON | WORKERS COMP | $99.72 | ↑ +953% |
| BERGEN RISK | ALL PRODUCTS | $103.50 | ↑ +993% |
| BEACON | ALL PRODUCTS | $103.50 | ↑ +993% |
| HORIZON | PIP | $105.16 | ↑ +1010% |
| QUALCARE | PPO | $107.23 | ↑ +1032% |
| AETNA | ASA | $108.05 | ↑ +1041% |
| HORIZON | OMNIA | $109.49 | ↑ +1056% |
| CIGNA | BH | $110.40 | ↑ +1066% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $110.40 | ↑ +1066% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $117.30 | ↑ +1139% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $117.30 | ↑ +1139% |
| AMERIHEALTH | LOCAL HMO | $120.56 | ↑ +1173% |
| QUALCARE | WORKERS COMP | $121.44 | ↑ +1182% |
| HORIZON | SHP | $133.96 | ↑ +1315% |
| HORIZON | HMO | $134.66 | ↑ +1322% |
| HORIZON | INDEMNITY | $136.14 | ↑ +1338% |
| AMERIHEALTH | REGIONAL HMO | $136.54 | ↑ +1342% |
| HORIZON | PPO | $138.00 | ↑ +1357% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Culture anaerobic except blood at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $55.20 | $20.01 – $20.01 |
| Bayshore Medical Center | Holmdel | $9.47 | $9.47 – $43.39 |
| Hackensack University Medical Center | Hackensack | $9.47 | $7.58 – $42.52 |
| Ocean University Medical Center | Brick | $9.47 | $9.47 – $43.39 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9.47 | $9.47 – $44.57 |
| Palisades Medical Center | North Bergen | $9.47 | $9.47 – $43.39 |
| Raritan Bay Medical Center | Perth Amboy | $9.47 | $9.47 – $43.39 |
| Riverview Medical Center | Red Bank | $9.47 | $9.47 – $43.39 |