Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$225.12
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.
$784.00
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.
$89.68 with KARNA vs $1,011.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $89.68 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $130.14 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $141.12 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $181.10 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $225.12 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $225.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $225.12 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $225.12 | ↑ +0% |
| VACCN | ALL PRODUCTS | $225.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $236.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $245.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $270.15 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $461.78 | ↑ +105% |
| HORIZON | MANAGED MEDICAID | $540.88 | ↑ +140% |
| HORIZON | WORKERS COMP | $566.52 | ↑ +152% |
| BERGEN RISK | ALL PRODUCTS | $588.00 | ↑ +161% |
| BEACON | ALL PRODUCTS | $588.00 | ↑ +161% |
| HORIZON | PIP | $597.41 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $604.00 | ↑ +168% |
| QUALCARE | PPO | $609.17 | ↑ +171% |
| QUALCARE | HMO | $609.17 | ↑ +171% |
| AETNA | ASA | $613.87 | ↑ +173% |
| HORIZON | OMNIA | $622.03 | ↑ +176% |
| CIGNA | BH | $627.20 | ↑ +179% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $666.40 | ↑ +196% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $666.40 | ↑ +196% |
| AMERIHEALTH | LOCAL HMO | $684.90 | ↑ +204% |
| QUALCARE | WORKERS COMP | $689.92 | ↑ +206% |
| AETNA | PPO | $705.60 | ↑ +213% |
| AETNA | HMO | $705.60 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $705.60 | ↑ +213% |
| CIGNA | HMO | $749.74 | ↑ +233% |
| CIGNA | PPO | $749.74 | ↑ +233% |
| HORIZON | SHP | $761.03 | ↑ +238% |
| HORIZON | HMO | $765.03 | ↑ +240% |
| HORIZON | INDEMNITY | $773.42 | ↑ +244% |
| AMERIHEALTH | REGIONAL HMO | $775.69 | ↑ +245% |
| HORIZON | PPO | $784.00 | ↑ +248% |
| UNITED HEALTHCARE | HMO | $1,011.00 | ↑ +349% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $225.12 | $225.12 – $770.00 |
| Hackensack University Medical Center | Hackensack | $239.52 | $91.58 – $794.00 |
| Ocean University Medical Center | Brick | $222.28 | $89.68 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $225.32 | $91.58 – $342.00 |
| Palisades Medical Center | North Bergen | $239.52 | $91.58 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $225.32 | $91.58 – $396.00 |
| Riverview Medical Center | Red Bank | $225.12 | $89.68 – $271.00 |
| Southern Ocean Medical Center | Manahawkin | $222.28 | $89.68 – $525.00 |