Sargramostim injection at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$56.09
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.
$315.95
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.
$47.68 with HORIZON vs $315.95 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $47.68 | ↓ -15% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $56.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $56.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $56.09 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $56.87 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $58.89 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $61.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $67.31 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $77.26 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $91.91 | ↑ +64% |
| AMERIHEALTH | REGIONAL HMO | $100.54 | ↑ +79% |
| WELLCARE | MANAGED MEDICAID | $142.18 | ↑ +153% |
| WELLCARE | MEDICARE ADVANTAGE | $142.18 | ↑ +153% |
| AETNA | MANAGED MEDICAID | $154.82 | ↑ +176% |
| CIGNA | HMO | $156.40 | ↑ +179% |
| CIGNA | PPO | $156.40 | ↑ +179% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.98 | ↑ +182% |
| AMERIGROUP | MANAGED MEDICAID | $157.98 | ↑ +182% |
| QUALCARE | PPO | $162.71 | ↑ +190% |
| QUALCARE | WORKERS COMP | $162.71 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $178.51 | ↑ +218% |
| UNITED HEALTHCARE | HMO | $178.51 | ↑ +218% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $186.09 | ↑ +232% |
| BERGEN RISK | ALL PRODUCTS | $189.57 | ↑ +238% |
| BEACON | ALL PRODUCTS | $189.57 | ↑ +238% |
| AETNA | PPO | $191.47 | ↑ +241% |
| AETNA | HMO | $191.47 | ↑ +241% |
| HORIZON | WORKERS COMP | $228.31 | ↑ +307% |
| HORIZON | PIP | $240.75 | ↑ +329% |
| AETNA | ASA | $247.39 | ↑ +341% |
| HORIZON | OMNIA | $250.67 | ↑ +347% |
| CIGNA | BH | $252.76 | ↑ +351% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $268.56 | ↑ +379% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $268.56 | ↑ +379% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $284.36 | ↑ +407% |
| HORIZON | SHP | $306.69 | ↑ +447% |
| HORIZON | HMO | $308.30 | ↑ +450% |
| HORIZON | INDEMNITY | $311.68 | ↑ +456% |
| HORIZON | PPO | $315.95 | ↑ +463% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
Visitor-reported prices
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Sargramostim injection at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $56.09 | $47.68 – $115.02 |
| Hackensack University Medical Center | Hackensack | $56.09 | $40.30 – $78.89 |
| Ocean University Medical Center | Brick | $56.09 | $47.68 – $115.02 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $56.09 | $47.68 – $115.02 |
| Palisades Medical Center | North Bergen | $60.28 | $47.68 – $115.02 |
| Raritan Bay Medical Center | Perth Amboy | $56.09 | $47.68 – $115.02 |
| Riverview Medical Center | Red Bank | $56.09 | $47.68 – $115.02 |
| Southern Ocean Medical Center | Manahawkin | $56.09 | $47.68 – $115.02 |