Crizanlizumab-tmca 10 mg/ml intravenous solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$129.58
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.
$655.55
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.
$110.14 with HORIZON vs $599.30 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 | $110.14 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $118.00 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $129.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $129.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $136.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $141.24 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $155.50 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $165.55 | ↑ +28% |
| AMERIHEALTH | LOCAL HMO | $190.70 | ↑ +47% |
| AMERIHEALTH | REGIONAL HMO | $208.60 | ↑ +61% |
| WELLCARE | MEDICARE ADVANTAGE | $295.00 | ↑ +128% |
| WELLCARE | MANAGED MEDICAID | $295.00 | ↑ +128% |
| AETNA | MANAGED MEDICAID | $321.22 | ↑ +148% |
| AMERIGROUP | MANAGED MEDICAID | $327.78 | ↑ +153% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $327.78 | ↑ +153% |
| UNITED HEALTHCARE | HMO | $354.65 | ↑ +174% |
| OXFORD | ALL PRODUCTS | $354.65 | ↑ +174% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $386.12 | ↑ +198% |
| BERGEN RISK | ALL PRODUCTS | $393.33 | ↑ +204% |
| AETNA | PPO | $397.26 | ↑ +207% |
| AETNA | HMO | $397.26 | ↑ +207% |
| HORIZON | PIP | $426.76 | ↑ +229% |
| HORIZON | WORKERS COMP | $440.46 | ↑ +240% |
| HORIZON | OMNIA | $473.37 | ↑ +265% |
| AETNA | ASA | $513.30 | ↑ +296% |
| CIGNA | BH | $524.44 | ↑ +305% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $557.22 | ↑ +330% |
| HORIZON | SHP | $562.72 | ↑ +334% |
| HORIZON | INDEMNITY | $583.44 | ↑ +350% |
| HORIZON | HMO | $583.83 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $590.00 | ↑ +355% |
| QUALCARE | HMO | $595.24 | ↑ +359% |
| HORIZON | PPO | $599.30 | ↑ +362% |
| 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 | — |
Visitor-reported prices
Comments
Crizanlizumab-tmca 10 mg/ml intravenous solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $129.58 | $110.14 – $266.55 |
| Jersey Shore University Medical Center | Neptune City | $129.58 | $110.14 – $165.55 |
| Palisades Medical Center | North Bergen | $128.54 | $110.14 – $266.55 |
| Raritan Bay Medical Center | Perth Amboy | $129.58 | $110.14 – $266.55 |
| Riverview Medical Center | Red Bank | $129.58 | $110.14 – $266.55 |