Darbepoetin alfa, esrd use at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3.00
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.
?
What you pay up front if you don't use insurance.
$40.89
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.55 with HORIZON vs $35.50 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2.55 | ↓ -15% |
| VACCN | ALL PRODUCTS | $3.00 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.15 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3.27 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3.60 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $3.82 | ↑ +27% |
| CLOVER | MEDICARE ADVANTAGE | $6.99 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $11.30 | ↑ +277% |
| AMERIHEALTH | REGIONAL HMO | $12.36 | ↑ +312% |
| WELLCARE | MANAGED MEDICAID | $17.47 | ↑ +482% |
| WELLCARE | MEDICARE ADVANTAGE | $17.47 | ↑ +482% |
| AETNA | MANAGED MEDICAID | $19.03 | ↑ +534% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $19.42 | ↑ +547% |
| AMERIGROUP | MANAGED MEDICAID | $19.42 | ↑ +547% |
| UNITED HEALTHCARE | HMO | $21.01 | ↑ +600% |
| OXFORD | ALL PRODUCTS | $21.01 | ↑ +600% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $22.87 | ↑ +662% |
| BERGEN RISK | ALL PRODUCTS | $23.30 | ↑ +677% |
| AETNA | HMO | $23.53 | ↑ +684% |
| AETNA | PPO | $23.53 | ↑ +684% |
| HORIZON | PIP | $25.28 | ↑ +743% |
| HORIZON | WORKERS COMP | $26.09 | ↑ +770% |
| HORIZON | OMNIA | $28.04 | ↑ +835% |
| AETNA | ASA | $30.40 | ↑ +913% |
| CIGNA | BH | $31.06 | ↑ +935% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $33.01 | ↑ +1000% |
| HORIZON | SHP | $33.33 | ↑ +1011% |
| HORIZON | INDEMNITY | $34.56 | ↑ +1052% |
| HORIZON | HMO | $34.58 | ↑ +1053% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $34.95 | ↑ +1065% |
| QUALCARE | HMO | $35.26 | ↑ +1075% |
| HORIZON | PPO | $35.50 | ↑ +1083% |
| 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
Darbepoetin alfa, esrd use at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3.00 | $2.55 – $7.93 |
| Jersey Shore University Medical Center | Neptune City | $3.00 | $2.55 – $3.82 |
| Palisades Medical Center | North Bergen | $3.04 | $2.55 – $6.64 |
| Raritan Bay Medical Center | Perth Amboy | $3.00 | $2.55 – $6.64 |
| Riverview Medical Center | Red Bank | $3.00 | $2.55 – $6.64 |