Injection, inclisiran, 1 mg at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$12.35
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.
$63.49
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.
$10.50 with HORIZON vs $57.14 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $10.50 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $11.43 | ↓ -7% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12.35 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12.35 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.35 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.35 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $12.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.97 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $14.82 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.80 | ↑ +28% |
| AMERIHEALTH | LOCAL HMO | $18.47 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $20.20 | ↑ +64% |
| AETNA | MANAGED MEDICAID | $31.11 | ↑ +152% |
| CIGNA | PPO | $31.43 | ↑ +154% |
| CIGNA | HMO | $31.43 | ↑ +154% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $31.75 | ↑ +157% |
| AMERIGROUP | MANAGED MEDICAID | $31.75 | ↑ +157% |
| QUALCARE | WORKERS COMP | $32.70 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $34.35 | ↑ +178% |
| UNITED HEALTHCARE | HMO | $34.35 | ↑ +178% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $37.40 | ↑ +203% |
| BERGEN RISK | ALL PRODUCTS | $38.09 | ↑ +208% |
| AETNA | PPO | $38.73 | ↑ +214% |
| AETNA | HMO | $38.73 | ↑ +214% |
| HORIZON | OMNIA | $41.36 | ↑ +235% |
| HORIZON | WORKERS COMP | $45.51 | ↑ +269% |
| HORIZON | PIP | $49.08 | ↑ +297% |
| HORIZON | SHP | $49.50 | ↑ +301% |
| AETNA | ASA | $49.71 | ↑ +303% |
| HORIZON | HMO | $51.08 | ↑ +314% |
| HORIZON | INDEMNITY | $51.68 | ↑ +318% |
| HORIZON | PPO | $52.42 | ↑ +324% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $53.97 | ↑ +337% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $53.97 | ↑ +337% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $57.14 | ↑ +363% |
| QUALCARE | HMO | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $10.92 – $26.71 |
| Cooperman Barnabas Medical Center | Livingston | not published | $10.92 – $27.56 |
| Community Medical Center | Toms River | not published | $10.92 – $26.71 |
| Clara Maass Medical Center | Belleville | not published | $10.92 – $27.42 |
| Newark Beth Israel Medical Center | Newark | not published | $10.92 – $27.42 |
| Jersey City Medical Center | Jersey City | not published | $10.92 – $28.78 |
| Monmouth Medical Center | Long Branch | not published | $10.92 – $27.04 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $10.92 – $26.71 |