Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$54.67
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.
$216.40
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.
$38.95 with CLOVER vs $197.83 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 | $38.95 | ↓ -29% |
| HORIZON | MANAGED MEDICAID | $46.47 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $54.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $54.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $57.40 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $59.59 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $62.95 | ↑ +15% |
| KARNA | MEDICARE ADVANTAGE | $63.89 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $65.60 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $68.86 | ↑ +26% |
| WELLCARE | MEDICARE ADVANTAGE | $97.38 | ↑ +78% |
| WELLCARE | MANAGED MEDICAID | $97.38 | ↑ +78% |
| AETNA | MANAGED MEDICAID | $106.04 | ↑ +94% |
| AMERIGROUP | MANAGED MEDICAID | $108.20 | ↑ +98% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $108.20 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $117.07 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $117.07 | ↑ +114% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $127.46 | ↑ +133% |
| BERGEN RISK | ALL PRODUCTS | $129.84 | ↑ +137% |
| AETNA | PPO | $131.14 | ↑ +140% |
| AETNA | HMO | $131.14 | ↑ +140% |
| HORIZON | PIP | $140.88 | ↑ +158% |
| HORIZON | WORKERS COMP | $145.40 | ↑ +166% |
| HORIZON | OMNIA | $156.26 | ↑ +186% |
| AETNA | ASA | $169.44 | ↑ +210% |
| CIGNA | BH | $173.12 | ↑ +217% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $183.94 | ↑ +236% |
| HORIZON | SHP | $185.76 | ↑ +240% |
| HORIZON | INDEMNITY | $192.60 | ↑ +252% |
| HORIZON | HMO | $192.73 | ↑ +253% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $194.76 | ↑ +256% |
| QUALCARE | HMO | $196.49 | ↑ +259% |
| HORIZON | PPO | $197.83 | ↑ +262% |
| 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 | — |