Unlisted transfusion med px at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$27.11
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.
$1,239.00
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.
$20.28 with UNITED HEALTHCARE vs $680.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.28 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $55.14 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $55.14 | ↑ +103% |
| HORIZON | MANAGED MEDICAID | $68.00 | ↑ +151% |
| AETNA | MANAGED MEDICAID | $112.88 | ↑ +316% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.08 | ↑ +479% |
| CLOVER | MEDICARE ADVANTAGE | $223.02 | ↑ +723% |
| QUALCARE | HMO | $395.08 | ↑ +1357% |
| AETNA | HMO | $476.00 | ↑ +1656% |
| AETNA | PPO | $476.00 | ↑ +1656% |
| HORIZON | WORKERS COMP | $491.37 | ↑ +1713% |
| BEACON | ALL PRODUCTS | $510.00 | ↑ +1781% |
| BERGEN RISK | ALL PRODUCTS | $510.00 | ↑ +1781% |
| HORIZON | PIP | $518.16 | ↑ +1811% |
| QUALCARE | PPO | $528.36 | ↑ +1849% |
| AETNA | ASA | $532.44 | ↑ +1864% |
| HORIZON | OMNIA | $539.51 | ↑ +1890% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $544.00 | ↑ +1907% |
| CIGNA | BH | $544.00 | ↑ +1907% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $578.00 | ↑ +2032% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $578.00 | ↑ +2032% |
| AMERIHEALTH | LOCAL HMO | $594.05 | ↑ +2091% |
| QUALCARE | WORKERS COMP | $598.40 | ↑ +2107% |
| CIGNA | HMO | $650.28 | ↑ +2299% |
| CIGNA | PPO | $650.28 | ↑ +2299% |
| HORIZON | SHP | $660.08 | ↑ +2335% |
| HORIZON | HMO | $663.54 | ↑ +2348% |
| HORIZON | INDEMNITY | $670.82 | ↑ +2374% |
| AMERIHEALTH | REGIONAL HMO | $672.79 | ↑ +2382% |
| HORIZON | PPO | $680.00 | ↑ +2408% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted transfusion med px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $159.13 | $11.73 – $54.96 |
| Clara Maass Medical Center | Belleville | $149.37 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $156.43 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $156.05 | $11.73 – $57.39 |
| Bayshore Medical Center | Holmdel | $27.11 | $20.28 – $50.64 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $56.98 |
| Ocean University Medical Center | Brick | $26.76 | $20.28 – $50.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $53.78 |