Whole blood for transfusion at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$249.18
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.
$1,375.00
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.
$228.25 with AETNA vs $2,973.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $228.25 | ↓ -8% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↓ -1% |
| VACCN | ALL PRODUCTS | $249.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $249.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $249.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $249.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $249.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $261.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $271.60 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $273.93 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $299.01 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $317.63 | ↑ +27% |
| OXFORD | ALL PRODUCTS | $380.00 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $809.88 | ↑ +225% |
| HORIZON | WORKERS COMP | $993.58 | ↑ +299% |
| BEACON | ALL PRODUCTS | $1,031.25 | ↑ +314% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +314% |
| HORIZON | PIP | $1,047.75 | ↑ +320% |
| QUALCARE | HMO | $1,068.38 | ↑ +329% |
| QUALCARE | PPO | $1,068.38 | ↑ +329% |
| AETNA | ASA | $1,076.63 | ↑ +332% |
| HORIZON | OMNIA | $1,090.93 | ↑ +338% |
| CIGNA | BH | $1,100.00 | ↑ +341% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,168.75 | ↑ +369% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +369% |
| AMERIHEALTH | LOCAL HMO | $1,201.20 | ↑ +382% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +386% |
| AETNA | HMO | $1,237.50 | ↑ +397% |
| AETNA | PPO | $1,237.50 | ↑ +397% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,237.50 | ↑ +397% |
| CIGNA | HMO | $1,314.91 | ↑ +428% |
| CIGNA | PPO | $1,314.91 | ↑ +428% |
| HORIZON | SHP | $1,334.71 | ↑ +436% |
| HORIZON | HMO | $1,341.73 | ↑ +438% |
| HORIZON | INDEMNITY | $1,356.44 | ↑ +444% |
| AMERIHEALTH | REGIONAL HMO | $1,360.43 | ↑ +446% |
| HORIZON | PPO | $1,375.00 | ↑ +452% |
| UNITED HEALTHCARE | HMO | $2,973.00 | ↑ +1093% |
| 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
Whole blood for transfusion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $268.97 | $246.03 – $492.06 |
| Cooperman Barnabas Medical Center | Livingston | $303.65 | $252.57 – $505.14 |
| Clara Maass Medical Center | Belleville | $285.02 | $252.57 – $502.61 |
| Newark Beth Israel Medical Center | Newark | $298.49 | $252.57 – $505.14 |
| Jersey City Medical Center | Jersey City | $297.77 | $265.11 – $527.57 |
| Bayshore Medical Center | Holmdel | $249.18 | $249.18 – $357.00 |
| Hackensack University Medical Center | Hackensack | $265.11 | $212.09 – $518.00 |
| Ocean University Medical Center | Brick | $246.03 | $225.12 – $356.00 |