Sputum specimen collection at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$189.67
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.
$223.00
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.
$35.95 with KARNA vs $1,011.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $35.95 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $37.02 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $40.14 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $51.51 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $131.35 | ↓ -31% |
| HORIZON | MANAGED MEDICAID | $153.85 | ↓ -19% |
| HORIZON | WORKERS COMP | $161.14 | ↓ -15% |
| BEACON | ALL PRODUCTS | $167.25 | ↓ -12% |
| BERGEN RISK | ALL PRODUCTS | $167.25 | ↓ -12% |
| HORIZON | PIP | $169.93 | ↓ -10% |
| QUALCARE | HMO | $173.27 | ↓ -9% |
| QUALCARE | PPO | $173.27 | ↓ -9% |
| AETNA | ASA | $174.61 | ↓ -8% |
| HORIZON | OMNIA | $176.93 | ↓ -7% |
| CIGNA | BH | $178.40 | ↓ -6% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $189.55 | ↓ -0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $189.55 | ↓ -0% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $194.81 | ↑ +3% |
| QUALCARE | WORKERS COMP | $196.24 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| AETNA | HMO | $200.70 | ↑ +6% |
| AETNA | PPO | $200.70 | ↑ +6% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $200.70 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| CIGNA | HMO | $213.25 | ↑ +12% |
| CIGNA | PPO | $213.25 | ↑ +12% |
| HORIZON | SHP | $216.47 | ↑ +14% |
| HORIZON | HMO | $217.60 | ↑ +15% |
| HORIZON | INDEMNITY | $219.99 | ↑ +16% |
| AMERIHEALTH | REGIONAL HMO | $220.64 | ↑ +16% |
| HORIZON | PPO | $223.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $604.00 | ↑ +218% |
| UNITED HEALTHCARE | HMO | $1,011.00 | ↑ +433% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Sputum specimen collection at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $74.80 | $9.67 – $384.50 |
| Clara Maass Medical Center | Belleville | $103.82 | $9.65 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $73.52 | $9.67 – $384.50 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $770.00 |
| Hackensack University Medical Center | Hackensack | $201.80 | $23.30 – $794.00 |
| Ocean University Medical Center | Brick | $187.28 | $8.80 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $8.80 – $317.00 |
| Palisades Medical Center | North Bergen | $201.80 | $25.70 – $444.00 |