Liver Function Test at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$8.17
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.
$167.00
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.
$6.54 with OPTUM HEALTH vs $167.00 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 | $6.54 | ↓ -20% |
| HORIZON | BH | $7.00 | ↓ -14% |
| WELLCARE | MANAGED MEDICAID | $8.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8.17 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $8.17 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $8.17 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8.17 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $8.17 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $8.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8.91 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $9.80 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $10.64 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $17.94 | ↑ +120% |
| OXFORD | ALL PRODUCTS | $18.26 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $18.26 | ↑ +124% |
| AETNA | MANAGED MEDICAID | $27.72 | ↑ +239% |
| CIGNA | PPO | $37.44 | ↑ +358% |
| CIGNA | HMO | $37.44 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $38.74 | ↑ +374% |
| QUALCARE | HMO | $97.03 | ↑ +1088% |
| HORIZON | MANAGED MEDICAID | $115.21 | ↑ +1310% |
| AETNA | PPO | $116.90 | ↑ +1331% |
| AETNA | HMO | $116.90 | ↑ +1331% |
| HORIZON | WORKERS COMP | $120.67 | ↑ +1377% |
| BERGEN RISK | ALL PRODUCTS | $125.25 | ↑ +1433% |
| BEACON | ALL PRODUCTS | $125.25 | ↑ +1433% |
| HORIZON | PIP | $127.25 | ↑ +1458% |
| QUALCARE | PPO | $129.76 | ↑ +1488% |
| AETNA | ASA | $130.76 | ↑ +1500% |
| HORIZON | OMNIA | $132.50 | ↑ +1522% |
| CIGNA | BH | $133.60 | ↑ +1535% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $133.60 | ↑ +1535% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $141.95 | ↑ +1637% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $141.95 | ↑ +1637% |
| AMERIHEALTH | LOCAL HMO | $145.89 | ↑ +1686% |
| QUALCARE | WORKERS COMP | $146.96 | ↑ +1699% |
| HORIZON | SHP | $162.11 | ↑ +1884% |
| HORIZON | HMO | $162.96 | ↑ +1895% |
| HORIZON | INDEMNITY | $164.75 | ↑ +1917% |
| AMERIHEALTH | REGIONAL HMO | $165.23 | ↑ +1922% |
| HORIZON | PPO | $167.00 | ↑ +1944% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Liver Function Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $66.80 | $7.00 – $24.22 |
| Trinitas Regional Medical Center | Elizabeth | $8.99 | $3.84 – $34.39 |
| Cooperman Barnabas Medical Center | Livingston | $8.99 | $3.84 – $33.37 |
| Community Medical Center | Toms River | $8.99 | $3.84 – $33.37 |
| Clara Maass Medical Center | Belleville | $8.99 | $3.84 – $33.37 |
| Childrens Specialized Hospital | Mountainside | $27.00 | $6.54 – $19.14 |
| Newark Beth Israel Medical Center | Newark | $8.99 | $3.84 – $33.37 |
| Jersey City Medical Center | Jersey City | $8.99 | $3.84 – $33.37 |