Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$29.24
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.
$110.34
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.
$18.30 with CLOVER vs $92.93 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 | $18.30 | ↓ -37% |
| HORIZON | MANAGED MEDICAID | $24.85 | ↓ -15% |
| VACCN | ALL PRODUCTS | $29.24 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $29.24 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $29.57 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $30.70 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $31.87 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $32.35 | ↑ +11% |
| KARNA | MEDICARE ADVANTAGE | $32.82 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $35.09 | ↑ +20% |
| WELLCARE | MANAGED MEDICAID | $45.74 | ↑ +56% |
| WELLCARE | MEDICARE ADVANTAGE | $45.74 | ↑ +56% |
| AETNA | MANAGED MEDICAID | $49.81 | ↑ +70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $50.83 | ↑ +74% |
| AMERIGROUP | MANAGED MEDICAID | $50.83 | ↑ +74% |
| UNITED HEALTHCARE | HMO | $54.99 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $54.99 | ↑ +88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $59.87 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $60.99 | ↑ +109% |
| AETNA | HMO | $61.60 | ↑ +111% |
| AETNA | PPO | $61.60 | ↑ +111% |
| HORIZON | PIP | $66.17 | ↑ +126% |
| HORIZON | WORKERS COMP | $68.30 | ↑ +134% |
| HORIZON | OMNIA | $73.40 | ↑ +151% |
| AETNA | ASA | $79.59 | ↑ +172% |
| CIGNA | BH | $81.32 | ↑ +178% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $86.40 | ↑ +195% |
| HORIZON | SHP | $87.26 | ↑ +198% |
| HORIZON | INDEMNITY | $90.47 | ↑ +209% |
| HORIZON | HMO | $90.53 | ↑ +210% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $91.49 | ↑ +213% |
| QUALCARE | HMO | $92.30 | ↑ +216% |
| HORIZON | PPO | $92.93 | ↑ +218% |
| 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 | — |