Inj, abilify maintena, 1 mg at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$7.24
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.
$33.89
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.
$4.60 with CLOVER vs $25.54 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 | $4.60 | ↓ -36% |
| HORIZON | MANAGED MEDICAID | $6.15 | ↓ -15% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $7.24 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7.24 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.24 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $7.43 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7.60 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7.89 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $8.13 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $8.69 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $8.87 | ↑ +23% |
| WELLCARE | MEDICARE ADVANTAGE | $11.49 | ↑ +59% |
| WELLCARE | MANAGED MEDICAID | $11.49 | ↑ +59% |
| AETNA | MANAGED MEDICAID | $12.51 | ↑ +73% |
| CIGNA | PPO | $12.64 | ↑ +75% |
| CIGNA | HMO | $12.64 | ↑ +75% |
| AMERIGROUP | MANAGED MEDICAID | $12.77 | ↑ +76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.77 | ↑ +76% |
| QUALCARE | PPO | $13.15 | ↑ +82% |
| QUALCARE | WORKERS COMP | $13.15 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $14.43 | ↑ +99% |
| OXFORD | ALL PRODUCTS | $14.43 | ↑ +99% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $15.04 | ↑ +108% |
| BERGEN RISK | ALL PRODUCTS | $15.32 | ↑ +112% |
| BEACON | ALL PRODUCTS | $15.32 | ↑ +112% |
| AETNA | PPO | $15.48 | ↑ +114% |
| AETNA | HMO | $15.48 | ↑ +114% |
| HORIZON | WORKERS COMP | $18.46 | ↑ +155% |
| HORIZON | PIP | $19.46 | ↑ +169% |
| AETNA | ASA | $20.00 | ↑ +176% |
| HORIZON | OMNIA | $20.26 | ↑ +180% |
| CIGNA | BH | $20.43 | ↑ +182% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.71 | ↑ +200% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21.71 | ↑ +200% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22.99 | ↑ +218% |
| HORIZON | SHP | $24.79 | ↑ +242% |
| HORIZON | HMO | $24.92 | ↑ +244% |
| HORIZON | INDEMNITY | $25.20 | ↑ +248% |
| HORIZON | PPO | $25.54 | ↑ +253% |
| QUALCARE | HMO | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |