Cladribine 10 mg/10 ml intravenous solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$9.73
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.
$75.68
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.
$7.33 with CLOVER vs $37.24 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $7.33 | ↓ -25% |
| HORIZON | MANAGED MEDICAID | $8.27 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.22 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.61 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11.68 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $11.85 | ↑ +22% |
| AMERIHEALTH | REGIONAL HMO | $12.96 | ↑ +33% |
| WELLCARE | MANAGED MEDICAID | $18.33 | ↑ +88% |
| WELLCARE | MEDICARE ADVANTAGE | $18.33 | ↑ +88% |
| AETNA | MANAGED MEDICAID | $19.96 | ↑ +105% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.37 | ↑ +109% |
| AMERIGROUP | MANAGED MEDICAID | $20.37 | ↑ +109% |
| KARNA | MEDICARE ADVANTAGE | $20.54 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $22.04 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $22.04 | ↑ +127% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $24.00 | ↑ +147% |
| BERGEN RISK | ALL PRODUCTS | $24.44 | ↑ +151% |
| AETNA | PPO | $24.69 | ↑ +154% |
| AETNA | HMO | $24.69 | ↑ +154% |
| HORIZON | PIP | $26.52 | ↑ +173% |
| HORIZON | WORKERS COMP | $27.37 | ↑ +181% |
| HORIZON | OMNIA | $29.42 | ↑ +202% |
| AETNA | ASA | $31.90 | ↑ +228% |
| CIGNA | BH | $32.59 | ↑ +235% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $34.63 | ↑ +256% |
| HORIZON | SHP | $34.97 | ↑ +259% |
| HORIZON | INDEMNITY | $36.26 | ↑ +273% |
| HORIZON | HMO | $36.28 | ↑ +273% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.67 | ↑ +277% |
| QUALCARE | HMO | $36.99 | ↑ +280% |
| HORIZON | PPO | $37.24 | ↑ +283% |
| CIGNA | PPO | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |