Inj., emicizumab-kxwh 0.5 mg at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$57.43
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.
$396.81
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.
$48.82 with HORIZON vs $362.76 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 | $48.82 | ↓ -15% |
| VACCN | ALL PRODUCTS | $57.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $57.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $60.30 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $62.60 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $65.97 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $68.92 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $71.43 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $115.43 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $126.26 | ↑ +120% |
| WELLCARE | MANAGED MEDICAID | $178.56 | ↑ +211% |
| WELLCARE | MEDICARE ADVANTAGE | $178.56 | ↑ +211% |
| AETNA | MANAGED MEDICAID | $194.44 | ↑ +239% |
| AMERIGROUP | MANAGED MEDICAID | $198.41 | ↑ +245% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $198.41 | ↑ +245% |
| OXFORD | ALL PRODUCTS | $214.67 | ↑ +274% |
| UNITED HEALTHCARE | HMO | $214.67 | ↑ +274% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $233.72 | ↑ +307% |
| BERGEN RISK | ALL PRODUCTS | $238.09 | ↑ +315% |
| AETNA | HMO | $240.47 | ↑ +319% |
| AETNA | PPO | $240.47 | ↑ +319% |
| HORIZON | PIP | $258.32 | ↑ +350% |
| HORIZON | WORKERS COMP | $266.62 | ↑ +364% |
| HORIZON | OMNIA | $286.54 | ↑ +399% |
| AETNA | ASA | $310.70 | ↑ +441% |
| CIGNA | BH | $317.45 | ↑ +453% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $337.29 | ↑ +487% |
| HORIZON | SHP | $340.62 | ↑ +493% |
| HORIZON | INDEMNITY | $353.16 | ↑ +515% |
| HORIZON | HMO | $353.40 | ↑ +515% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $357.13 | ↑ +522% |
| QUALCARE | HMO | $360.30 | ↑ +527% |
| HORIZON | PPO | $362.76 | ↑ +532% |
| 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
Inj., emicizumab-kxwh 0.5 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $46.26 – $113.13 |
| Cooperman Barnabas Medical Center | Livingston | not published | $46.26 – $116.72 |
| Community Medical Center | Toms River | not published | $46.26 – $113.13 |
| Clara Maass Medical Center | Belleville | not published | $46.26 – $116.14 |
| Newark Beth Israel Medical Center | Newark | not published | $46.26 – $116.14 |
| Jersey City Medical Center | Jersey City | not published | $46.26 – $121.91 |
| Monmouth Medical Center | Long Branch | not published | $46.26 – $114.58 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $46.26 – $113.13 |