Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$236.62
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.
$885.57
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.
$159.40 with CLOVER vs $885.57 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 | $159.40 | ↓ -33% |
| HORIZON | MANAGED MEDICAID | $201.13 | ↓ -15% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $236.62 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $236.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $236.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $248.45 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $257.61 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $257.92 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $281.79 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $283.94 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $294.73 | ↑ +25% |
| WELLCARE | MEDICARE ADVANTAGE | $398.51 | ↑ +68% |
| WELLCARE | MANAGED MEDICAID | $398.51 | ↑ +68% |
| QUALCARE | HMO | $414.45 | ↑ +75% |
| AETNA | MANAGED MEDICAID | $433.93 | ↑ +83% |
| CIGNA | PPO | $438.36 | ↑ +85% |
| CIGNA | HMO | $438.36 | ↑ +85% |
| AMERIGROUP | MANAGED MEDICAID | $442.79 | ↑ +87% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $442.79 | ↑ +87% |
| QUALCARE | PPO | $456.07 | ↑ +93% |
| QUALCARE | WORKERS COMP | $456.07 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $500.35 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $500.35 | ↑ +111% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $521.60 | ↑ +120% |
| BERGEN RISK | ALL PRODUCTS | $531.34 | ↑ +125% |
| BEACON | ALL PRODUCTS | $531.34 | ↑ +125% |
| AETNA | PPO | $536.66 | ↑ +127% |
| AETNA | HMO | $536.66 | ↑ +127% |
| HORIZON | WORKERS COMP | $639.91 | ↑ +170% |
| HORIZON | PIP | $674.80 | ↑ +185% |
| AETNA | ASA | $693.40 | ↑ +193% |
| HORIZON | OMNIA | $702.61 | ↑ +197% |
| CIGNA | BH | $708.46 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $752.73 | ↑ +218% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $752.73 | ↑ +218% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $797.01 | ↑ +237% |
| HORIZON | SHP | $859.62 | ↑ +263% |
| HORIZON | HMO | $864.14 | ↑ +265% |
| HORIZON | INDEMNITY | $873.61 | ↑ +269% |
| HORIZON | PPO | $885.57 | ↑ +274% |
| UBH | ALL PRODUCTS | not published by hospital | — |