Heparin-protamine tolerance at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$13.09
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.
?
What you pay up front if you don't use insurance.
$116.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.47 with OPTUM HEALTH vs $116.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.47 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.09 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.09 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.74 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.27 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $15.71 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.05 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $19.26 | ↑ +47% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $26.91 | ↑ +106% |
| UNITED HEALTHCARE | HMO | $29.26 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $29.26 | ↑ +124% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $31.12 | ↑ +138% |
| CIGNA | HMO | $59.98 | ↑ +358% |
| CIGNA | PPO | $59.98 | ↑ +358% |
| QUALCARE | HMO | $67.40 | ↑ +415% |
| HORIZON | MANAGED MEDICAID | $80.03 | ↑ +511% |
| AETNA | PPO | $81.20 | ↑ +520% |
| AETNA | HMO | $81.20 | ↑ +520% |
| HORIZON | WORKERS COMP | $83.82 | ↑ +540% |
| BEACON | ALL PRODUCTS | $87.00 | ↑ +565% |
| BERGEN RISK | ALL PRODUCTS | $87.00 | ↑ +565% |
| HORIZON | PIP | $88.39 | ↑ +575% |
| QUALCARE | PPO | $90.13 | ↑ +589% |
| AETNA | ASA | $90.83 | ↑ +594% |
| HORIZON | OMNIA | $92.03 | ↑ +603% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $92.80 | ↑ +609% |
| CIGNA | BH | $92.80 | ↑ +609% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $98.60 | ↑ +653% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $98.60 | ↑ +653% |
| AMERIHEALTH | LOCAL HMO | $101.34 | ↑ +674% |
| QUALCARE | WORKERS COMP | $102.08 | ↑ +680% |
| HORIZON | SHP | $112.60 | ↑ +760% |
| HORIZON | HMO | $113.19 | ↑ +765% |
| HORIZON | INDEMNITY | $114.43 | ↑ +774% |
| AMERIHEALTH | REGIONAL HMO | $114.77 | ↑ +777% |
| HORIZON | PPO | $116.00 | ↑ +786% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Heparin-protamine tolerance at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $14.40 | $6.15 – $53.41 |
| Cooperman Barnabas Medical Center | Livingston | $14.40 | $6.15 – $53.41 |
| Community Medical Center | Toms River | $14.40 | $6.15 – $53.41 |
| Clara Maass Medical Center | Belleville | $14.40 | $6.15 – $53.41 |
| Newark Beth Israel Medical Center | Newark | $14.40 | $6.15 – $53.41 |
| Jersey City Medical Center | Jersey City | $14.40 | $6.15 – $53.41 |
| Monmouth Medical Center | Long Branch | $14.40 | $6.15 – $53.41 |
| Bayshore Medical Center | Holmdel | $13.09 | $13.09 – $59.98 |