Inj., benralizumab, 1 mg at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$168.13
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.
$1,001.39
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.
$142.91 with HORIZON vs $821.70 with BRIGHTON HEALTH PLAN — 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 | $142.91 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $164.34 | ↓ -2% |
| HORIZON | OMNIA | $165.71 | ↓ -1% |
| VACCN | ALL PRODUCTS | $168.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $168.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $176.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $183.26 | ↑ +9% |
| HORIZON | HMO | $190.33 | ↑ +13% |
| HORIZON | INDEMNITY | $194.52 | ↑ +16% |
| HORIZON | PPO | $195.36 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $201.76 | ↑ +20% |
| HORIZON | SHP | $206.41 | ↑ +23% |
| KARNA | MEDICARE ADVANTAGE | $220.78 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $265.59 | ↑ +58% |
| AMERIHEALTH | REGIONAL HMO | $290.52 | ↑ +73% |
| WELLCARE | MANAGED MEDICAID | $410.85 | ↑ +144% |
| WELLCARE | MEDICARE ADVANTAGE | $410.85 | ↑ +144% |
| AETNA | MANAGED MEDICAID | $447.37 | ↑ +166% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $456.50 | ↑ +172% |
| AMERIGROUP | MANAGED MEDICAID | $456.50 | ↑ +172% |
| QUALCARE | HMO | $468.65 | ↑ +179% |
| QUALCARE | WORKERS COMP | $468.65 | ↑ +179% |
| QUALCARE | PPO | $468.65 | ↑ +179% |
| UNITED HEALTHCARE | HMO | $493.93 | ↑ +194% |
| OXFORD | ALL PRODUCTS | $493.93 | ↑ +194% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $537.76 | ↑ +220% |
| BERGEN RISK | ALL PRODUCTS | $547.80 | ↑ +226% |
| AETNA | PPO | $553.28 | ↑ +229% |
| AETNA | HMO | $553.28 | ↑ +229% |
| HORIZON | PIP | $594.36 | ↑ +254% |
| HORIZON | WORKERS COMP | $613.44 | ↑ +265% |
| AETNA | ASA | $714.88 | ↑ +325% |
| CIGNA | BH | $730.40 | ↑ +334% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $776.05 | ↑ +362% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $821.70 | ↑ +389% |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Inj., benralizumab, 1 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | not published | $145.34 – $372.24 |
| Community Medical Center | Toms River | not published | $145.34 – $360.79 |
| Clara Maass Medical Center | Belleville | not published | $145.34 – $370.38 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $145.34 – $360.79 |