Rbc osmotic fragility at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$7.47
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.
$174.00
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.
$5.98 with OPTUM HEALTH vs $174.00 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 | $5.98 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $7.47 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $7.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.47 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7.47 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7.47 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $7.47 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $8.96 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $9.73 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.67 | ↑ +96% |
| AETNA | MANAGED MEDICAID | $28.88 | ↑ +287% |
| CIGNA | PPO | $34.23 | ↑ +358% |
| CIGNA | HMO | $34.23 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.37 | ↑ +440% |
| OXFORD | ALL PRODUCTS | $98.31 | ↑ +1216% |
| UNITED HEALTHCARE | HMO | $98.31 | ↑ +1216% |
| QUALCARE | HMO | $101.09 | ↑ +1253% |
| HORIZON | MANAGED MEDICAID | $120.04 | ↑ +1507% |
| AETNA | PPO | $121.80 | ↑ +1531% |
| AETNA | HMO | $121.80 | ↑ +1531% |
| HORIZON | WORKERS COMP | $125.73 | ↑ +1583% |
| BEACON | ALL PRODUCTS | $130.50 | ↑ +1647% |
| BERGEN RISK | ALL PRODUCTS | $130.50 | ↑ +1647% |
| HORIZON | PIP | $132.59 | ↑ +1675% |
| QUALCARE | PPO | $135.20 | ↑ +1710% |
| AETNA | ASA | $136.24 | ↑ +1724% |
| HORIZON | OMNIA | $138.05 | ↑ +1748% |
| CIGNA | BH | $139.20 | ↑ +1763% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $139.20 | ↑ +1763% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $147.90 | ↑ +1880% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $147.90 | ↑ +1880% |
| AMERIHEALTH | LOCAL HMO | $152.01 | ↑ +1935% |
| QUALCARE | WORKERS COMP | $153.12 | ↑ +1950% |
| HORIZON | SHP | $168.90 | ↑ +2161% |
| HORIZON | HMO | $169.79 | ↑ +2173% |
| HORIZON | INDEMNITY | $171.65 | ↑ +2198% |
| AMERIHEALTH | REGIONAL HMO | $172.16 | ↑ +2205% |
| HORIZON | PPO | $174.00 | ↑ +2229% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rbc osmotic fragility at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $8.22 | $3.51 – $30.71 |
| Cooperman Barnabas Medical Center | Livingston | $8.22 | $3.51 – $30.71 |
| Community Medical Center | Toms River | $8.22 | $3.51 – $30.71 |
| Clara Maass Medical Center | Belleville | $8.22 | $3.51 – $30.71 |
| Newark Beth Israel Medical Center | Newark | $8.22 | $3.51 – $30.71 |
| Jersey City Medical Center | Jersey City | $8.22 | $3.51 – $30.71 |
| Monmouth Medical Center | Long Branch | $8.22 | $3.51 – $30.71 |
| Bayshore Medical Center | Holmdel | $7.47 | $7.47 – $34.23 |