Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4.49
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.
$33.40
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.
$3.82 with HORIZON vs $30.06 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 | $3.82 | ↓ -15% |
| VACCN | ALL PRODUCTS | $4.49 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4.49 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4.49 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5.39 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $6.01 | ↑ +34% |
| KARNA | MEDICARE ADVANTAGE | $6.27 | ↑ +40% |
| HORIZON | OMNIA | $7.69 | ↑ +71% |
| HORIZON | HMO | $8.84 | ↑ +97% |
| HORIZON | INDEMNITY | $9.03 | ↑ +101% |
| HORIZON | PPO | $9.07 | ↑ +102% |
| HORIZON | SHP | $9.59 | ↑ +114% |
| AMERIHEALTH | LOCAL HMO | $9.72 | ↑ +116% |
| AMERIHEALTH | REGIONAL HMO | $10.63 | ↑ +137% |
| WELLCARE | MEDICARE ADVANTAGE | $15.03 | ↑ +235% |
| WELLCARE | MANAGED MEDICAID | $15.03 | ↑ +235% |
| AETNA | MANAGED MEDICAID | $16.37 | ↑ +265% |
| CIGNA | HMO | $16.53 | ↑ +268% |
| CIGNA | PPO | $16.53 | ↑ +268% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.70 | ↑ +272% |
| AMERIGROUP | MANAGED MEDICAID | $16.70 | ↑ +272% |
| QUALCARE | PPO | $17.20 | ↑ +283% |
| QUALCARE | WORKERS COMP | $17.20 | ↑ +283% |
| OXFORD | ALL PRODUCTS | $18.87 | ↑ +320% |
| UNITED HEALTHCARE | HMO | $18.87 | ↑ +320% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $19.67 | ↑ +338% |
| BEACON | ALL PRODUCTS | $20.04 | ↑ +346% |
| BERGEN RISK | ALL PRODUCTS | $20.04 | ↑ +346% |
| AETNA | PPO | $20.24 | ↑ +351% |
| AETNA | HMO | $20.24 | ↑ +351% |
| HORIZON | WORKERS COMP | $24.13 | ↑ +437% |
| HORIZON | PIP | $25.45 | ↑ +467% |
| AETNA | ASA | $26.15 | ↑ +482% |
| CIGNA | BH | $26.72 | ↑ +495% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28.39 | ↑ +532% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $28.39 | ↑ +532% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $30.06 | ↑ +569% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |