2d tte w or without fol w/con,co at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$930.42
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.
$1,879.00
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.
$338.22 with CLOVER vs $5,399.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $338.22 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $471.63 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $537.39 | ↓ -42% |
| OPTUM HEALTH | MANAGED MEDICAID | $744.34 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $925.92 | ↓ -0% |
| HORIZON | MANAGED MEDICAID | $930.11 | ↓ -0% |
| WELLCARE | MANAGED MEDICAID | $930.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $930.42 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $930.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $930.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $930.42 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $930.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $976.94 | ↑ +5% |
| HORIZON | OMNIA | $1,230.56 | ↑ +32% |
| HORIZON | WORKERS COMP | $1,293.88 | ↑ +39% |
| INTERGROUP | ALL PRODUCTS | $1,315.30 | ↑ +41% |
| HORIZON | PIP | $1,409.25 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $1,409.25 | ↑ +51% |
| LHP HEALTH | ALL PRODUCTS | $1,484.41 | ↑ +60% |
| CIGNA | BH | $1,503.20 | ↑ +62% |
| CHN | ALL PRODUCTS | $1,597.15 | ↑ +72% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,597.15 | ↑ +72% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,597.15 | ↑ +72% |
| QUALCARE | PPO | $1,657.28 | ↑ +78% |
| QUALCARE | HMO | $1,657.28 | ↑ +78% |
| QUALCARE | WORKERS COMP | $1,657.28 | ↑ +78% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,691.10 | ↑ +82% |
| AETNA | ASA | $1,788.81 | ↑ +92% |
| AETNA | HMO | $1,788.81 | ↑ +92% |
| AETNA | PPO | $1,788.81 | ↑ +92% |
| HORIZON | HMO | $1,789.56 | ↑ +92% |
| HORIZON | INDEMNITY | $1,798.77 | ↑ +93% |
| HORIZON | SHP | $1,810.23 | ↑ +95% |
| CIGNA | PPO | $1,817.93 | ↑ +95% |
| CIGNA | HMO | $1,817.93 | ↑ +95% |
| HORIZON | PPO | $1,832.40 | ↑ +97% |
| HORIZON | FEDERAL | $1,832.40 | ↑ +97% |
| AMERIHEALTH | REGIONAL HMO | $1,879.00 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $1,879.00 | ↑ +102% |
| OXFORD | ALL PRODUCTS | $5,320.00 | ↑ +472% |
| UNITED HEALTHCARE | HMO | $5,399.00 | ↑ +480% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $874.49 | $874.49 – $2,305.00 |
| Ocean University Medical Center | Brick | $863.44 | $790.06 – $2,718.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $875.24 | $790.06 – $1,839.00 |
| Jersey Shore University Medical Center | Neptune City | $874.49 | $874.49 – $2,376.00 |
| Palisades Medical Center | North Bergen | $930.42 | $930.42 – $3,541.00 |
| Raritan Bay Medical Center | Perth Amboy | $875.24 | $875.24 – $2,209.00 |
| Riverview Medical Center | Red Bank | $874.49 | $874.49 – $2,291.00 |
| Southern Ocean Medical Center | Manahawkin | $863.44 | $863.44 – $2,336.00 |