Ustekinumab 130 mg/26 ml intravenous solution at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$13.29
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.
$62.86
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.
$11.30 with HORIZON vs $56.57 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 | $11.30 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $11.31 | ↓ -15% |
| HORIZON | OMNIA | $12.47 | ↓ -6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.95 | ↑ +5% |
| HORIZON | HMO | $14.32 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $14.49 | ↑ +9% |
| HORIZON | INDEMNITY | $14.63 | ↑ +10% |
| HORIZON | PPO | $14.69 | ↑ +11% |
| HORIZON | SHP | $15.53 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $15.95 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $16.44 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $18.29 | ↑ +38% |
| AMERIHEALTH | REGIONAL HMO | $20.00 | ↑ +50% |
| WELLCARE | MANAGED MEDICAID | $28.29 | ↑ +113% |
| WELLCARE | MEDICARE ADVANTAGE | $28.29 | ↑ +113% |
| AETNA | MANAGED MEDICAID | $30.80 | ↑ +132% |
| CIGNA | HMO | $31.12 | ↑ +134% |
| CIGNA | PPO | $31.12 | ↑ +134% |
| AMERIGROUP | MANAGED MEDICAID | $31.43 | ↑ +136% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $31.43 | ↑ +136% |
| QUALCARE | PPO | $32.37 | ↑ +144% |
| QUALCARE | WORKERS COMP | $32.37 | ↑ +144% |
| UNITED HEALTHCARE | HMO | $35.52 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $35.52 | ↑ +167% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $37.02 | ↑ +179% |
| BEACON | ALL PRODUCTS | $37.72 | ↑ +184% |
| BERGEN RISK | ALL PRODUCTS | $37.72 | ↑ +184% |
| AETNA | PPO | $38.09 | ↑ +187% |
| AETNA | HMO | $38.09 | ↑ +187% |
| HORIZON | WORKERS COMP | $45.42 | ↑ +242% |
| HORIZON | PIP | $47.90 | ↑ +260% |
| AETNA | ASA | $49.22 | ↑ +270% |
| CIGNA | BH | $50.29 | ↑ +278% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $53.43 | ↑ +302% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $53.43 | ↑ +302% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $56.57 | ↑ +326% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 130 mg/26 ml intravenous solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $11.40 – $27.76 |
| Cooperman Barnabas Medical Center | Livingston | not published | $11.40 – $28.64 |
| Community Medical Center | Toms River | not published | $11.40 – $27.76 |
| Clara Maass Medical Center | Belleville | not published | $11.40 – $28.50 |
| Newark Beth Israel Medical Center | Newark | not published | $11.40 – $28.50 |
| Jersey City Medical Center | Jersey City | not published | $11.40 – $29.91 |
| Monmouth Medical Center | Long Branch | not published | $11.40 – $28.10 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $11.40 – $27.76 |