Bendamustine 100 mg intravenous powder for solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1.85
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.
$120.36
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.
$1.57 with HORIZON vs $110.03 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1.57 | ↓ -15% |
| VACCN | ALL PRODUCTS | $1.85 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1.85 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2.22 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $11.97 | ↑ +547% |
| CLOVER | MEDICARE ADVANTAGE | $21.66 | ↑ +1071% |
| AMERIHEALTH | LOCAL HMO | $35.01 | ↑ +1792% |
| AMERIHEALTH | REGIONAL HMO | $38.30 | ↑ +1970% |
| WELLCARE | MANAGED MEDICAID | $54.16 | ↑ +2828% |
| WELLCARE | MEDICARE ADVANTAGE | $54.16 | ↑ +2828% |
| AETNA | MANAGED MEDICAID | $58.98 | ↑ +3088% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.18 | ↑ +3153% |
| AMERIGROUP | MANAGED MEDICAID | $60.18 | ↑ +3153% |
| UNITED HEALTHCARE | HMO | $65.11 | ↑ +3419% |
| OXFORD | ALL PRODUCTS | $65.11 | ↑ +3419% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.89 | ↑ +3732% |
| BERGEN RISK | ALL PRODUCTS | $72.22 | ↑ +3804% |
| AETNA | HMO | $72.94 | ↑ +3843% |
| AETNA | PPO | $72.94 | ↑ +3843% |
| HORIZON | PIP | $78.35 | ↑ +4135% |
| HORIZON | WORKERS COMP | $80.87 | ↑ +4271% |
| HORIZON | OMNIA | $86.91 | ↑ +4598% |
| AETNA | ASA | $94.24 | ↑ +4994% |
| CIGNA | BH | $96.29 | ↑ +5105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.31 | ↑ +5430% |
| HORIZON | SHP | $103.32 | ↑ +5485% |
| HORIZON | INDEMNITY | $107.12 | ↑ +5690% |
| HORIZON | HMO | $107.19 | ↑ +5694% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $108.32 | ↑ +5755% |
| QUALCARE | HMO | $109.29 | ↑ +5808% |
| HORIZON | PPO | $110.03 | ↑ +5848% |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |