Darbepoetin alfa, esrd use at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3.00
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.
?
What you pay up front if you don't use insurance.
$40.41
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.55 with HORIZON vs $36.37 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2.55 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3.00 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.15 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $3.60 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $3.82 | ↑ +27% |
| CIGNA | HMO | $6.37 | ↑ +112% |
| CIGNA | PPO | $6.37 | ↑ +112% |
| OXFORD | ALL PRODUCTS | $6.64 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $6.64 | ↑ +121% |
| CLOVER | MEDICARE ADVANTAGE | $7.27 | ↑ +142% |
| BRIGHTON HEALTH PLAN | PNO | $7.93 | ↑ +164% |
| AMERIHEALTH | LOCAL HMO | $11.76 | ↑ +292% |
| AMERIHEALTH | REGIONAL HMO | $12.86 | ↑ +329% |
| AETNA | MANAGED MEDICAID | $19.80 | ↑ +560% |
| AMERIGROUP | MANAGED MEDICAID | $20.21 | ↑ +574% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.21 | ↑ +574% |
| QUALCARE | WORKERS COMP | $20.81 | ↑ +594% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23.80 | ↑ +693% |
| BERGEN RISK | ALL PRODUCTS | $24.25 | ↑ +708% |
| AETNA | PPO | $24.65 | ↑ +722% |
| AETNA | HMO | $24.65 | ↑ +722% |
| HORIZON | OMNIA | $26.32 | ↑ +777% |
| HORIZON | WORKERS COMP | $28.97 | ↑ +866% |
| HORIZON | PIP | $31.24 | ↑ +941% |
| HORIZON | SHP | $31.51 | ↑ +950% |
| AETNA | ASA | $31.64 | ↑ +955% |
| HORIZON | HMO | $32.51 | ↑ +984% |
| HORIZON | INDEMNITY | $32.89 | ↑ +996% |
| HORIZON | PPO | $33.36 | ↑ +1012% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $34.35 | ↑ +1045% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $34.35 | ↑ +1045% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.37 | ↑ +1112% |
| QUALCARE | HMO | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Darbepoetin alfa, esrd use at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3.00 | $2.55 – $6.64 |
| Hackensack University Medical Center | Hackensack | $3.00 | $2.34 – $3.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3.00 | $2.55 – $7.93 |
| Jersey Shore University Medical Center | Neptune City | $3.00 | $2.55 – $3.82 |
| Palisades Medical Center | North Bergen | $3.04 | $2.55 – $6.64 |
| Raritan Bay Medical Center | Perth Amboy | $3.00 | $2.55 – $6.64 |
| Riverview Medical Center | Red Bank | $3.00 | $2.55 – $6.64 |
| Southern Ocean Medical Center | Manahawkin | $3.00 | $2.55 – $3.82 |