Venous sampling s&i at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5,983.35
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.
$12,639.00
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.
$193.28 with KARNA vs $12,639.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $193.28 | ↓ -97% |
| AETNA | HMO | $269.01 | ↓ -96% |
| AETNA | PPO | $269.01 | ↓ -96% |
| CIGNA | HMO | $307.28 | ↓ -95% |
| CIGNA | PPO | $307.28 | ↓ -95% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $2,098.07 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $2,275.02 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,919.61 | ↓ -51% |
| WELLCARE | MANAGED MEDICAID | $5,983.35 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,983.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,282.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,521.85 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $7,141.04 | ↑ +19% |
| UNITED HEALTHCARE | HMO | $7,141.04 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $7,180.02 | ↑ +20% |
| QUALCARE | HMO | $7,343.26 | ↑ +23% |
| HORIZON | WORKERS COMP | $9,132.94 | ↑ +53% |
| BEACON | ALL PRODUCTS | $9,479.25 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $9,479.25 | ↑ +58% |
| HORIZON | PIP | $9,630.92 | ↑ +61% |
| QUALCARE | PPO | $9,820.50 | ↑ +64% |
| AETNA | ASA | $9,896.34 | ↑ +65% |
| HORIZON | OMNIA | $10,027.78 | ↑ +68% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,111.20 | ↑ +69% |
| CIGNA | BH | $10,111.20 | ↑ +69% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,743.15 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,743.15 | ↑ +80% |
| AMERIHEALTH | LOCAL HMO | $11,041.43 | ↑ +85% |
| QUALCARE | WORKERS COMP | $11,122.32 | ↑ +86% |
| HORIZON | SHP | $12,268.68 | ↑ +105% |
| HORIZON | HMO | $12,333.14 | ↑ +106% |
| HORIZON | INDEMNITY | $12,468.37 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $12,505.03 | ↑ +109% |
| HORIZON | PPO | $12,639.00 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Venous sampling s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,221.42 | $54.68 – $11,815.56 |
| Cooperman Barnabas Medical Center | Livingston | $2,507.83 | $172.20 – $12,129.52 |
| Community Medical Center | Toms River | $2,454.57 | $172.20 – $11,756.48 |
| Newark Beth Israel Medical Center | Newark | $2,465.23 | $56.29 – $12,129.52 |
| Jersey City Medical Center | Jersey City | $2,459.31 | $70.77 – $12,668.50 |
| Monmouth Medical Center | Long Branch | $2,589.49 | $172.20 – $11,906.87 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $258.32 – $12,915.78 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $156.10 – $14,752.37 |