Ustekinumab 45 mg/0.5 ml subcutaneous solution at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$157.68
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.
$1,117.73
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.
$157.68 with VACCN vs $1,005.96 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $157.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $157.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $165.56 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $171.87 | ↑ +9% |
| HORIZON | OMNIA | $180.70 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $189.22 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $200.53 | ↑ +27% |
| CLOVER | MEDICARE ADVANTAGE | $201.19 | ↑ +28% |
| HORIZON | HMO | $207.35 | ↑ +32% |
| HORIZON | INDEMNITY | $211.91 | ↑ +34% |
| HORIZON | PPO | $212.19 | ↑ +35% |
| HORIZON | SHP | $224.85 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $325.15 | ↑ +106% |
| AMERIHEALTH | REGIONAL HMO | $355.66 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $366.84 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $366.84 | ↑ +133% |
| WELLCARE | MEDICARE ADVANTAGE | $502.98 | ↑ +219% |
| WELLCARE | MANAGED MEDICAID | $502.98 | ↑ +219% |
| QUALCARE | HMO | $523.10 | ↑ +232% |
| AETNA | MANAGED MEDICAID | $547.69 | ↑ +247% |
| CIGNA | PPO | $553.28 | ↑ +251% |
| CIGNA | HMO | $553.28 | ↑ +251% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $558.87 | ↑ +254% |
| AMERIGROUP | MANAGED MEDICAID | $558.87 | ↑ +254% |
| QUALCARE | WORKERS COMP | $575.63 | ↑ +265% |
| QUALCARE | PPO | $575.63 | ↑ +265% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $658.34 | ↑ +318% |
| BERGEN RISK | ALL PRODUCTS | $670.64 | ↑ +325% |
| AETNA | HMO | $681.82 | ↑ +332% |
| AETNA | PPO | $681.82 | ↑ +332% |
| HORIZON | WORKERS COMP | $786.88 | ↑ +399% |
| HORIZON | MANAGED MEDICAID | $793.59 | ↑ +403% |
| AETNA | ASA | $875.18 | ↑ +455% |
| HORIZON | PIP | $881.89 | ↑ +459% |
| CIGNA | BH | $894.18 | ↑ +467% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $950.07 | ↑ +503% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $950.07 | ↑ +503% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,005.96 | ↑ +538% |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $115.15 – $339.02 |
| Cooperman Barnabas Medical Center | Livingston | not published | $135.63 – $349.76 |
| Community Medical Center | Toms River | not published | $135.63 – $339.02 |
| Clara Maass Medical Center | Belleville | not published | $135.63 – $348.01 |
| Newark Beth Israel Medical Center | Newark | not published | $135.63 – $348.01 |
| Jersey City Medical Center | Jersey City | not published | $135.63 – $365.30 |
| Monmouth Medical Center | Long Branch | not published | $135.63 – $343.35 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $135.63 – $339.02 |