99397 periodic comp preventive med 65+ years est at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
not published by hospital
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.
$56.00
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.
$10.08 with CLOVER vs $974.00 with AMERIHEALTH — 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 | $10.08 | — |
| OPTUM HEALTH | MANAGED MEDICAID | $12.32 | — |
| AETNA | MANAGED MEDICAID | $14.06 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.02 | — |
| AETNA | MEDICARE ADVANTAGE | $16.58 | — |
| HORIZON | MANAGED MEDICAID | $27.72 | — |
| HORIZON | OMNIA | $36.67 | — |
| HORIZON | WORKERS COMP | $38.56 | — |
| INTERGROUP | ALL PRODUCTS | $39.20 | — |
| UNITED HEALTHCARE | HMO | $40.41 | — |
| OXFORD | ALL PRODUCTS | $41.14 | — |
| HORIZON | PIP | $42.00 | — |
| BERGEN RISK | ALL PRODUCTS | $42.00 | — |
| LHP HEALTH | ALL PRODUCTS | $44.24 | — |
| CIGNA | BH | $44.80 | — |
| CHN | ALL PRODUCTS | $47.60 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $47.60 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $47.60 | — |
| QUALCARE | HMO | $49.39 | — |
| QUALCARE | PPO | $49.39 | — |
| QUALCARE | WORKERS COMP | $49.39 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $50.40 | — |
| AETNA | HMO | $53.31 | — |
| AETNA | ASA | $53.31 | — |
| AETNA | PPO | $53.31 | — |
| HORIZON | HMO | $53.33 | — |
| HORIZON | INDEMNITY | $53.61 | — |
| HORIZON | SHP | $53.95 | — |
| CIGNA | HMO | $54.18 | — |
| CIGNA | PPO | $54.18 | — |
| HORIZON | PPO | $54.61 | — |
| HORIZON | FEDERAL | $54.61 | — |
| KARNA | MEDICARE ADVANTAGE | $164.13 | — |
| AMERIHEALTH | LOCAL HMO | $879.00 | — |
| AMERIHEALTH | REGIONAL HMO | $974.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Ocean University Medical Center | Brick | not published | $104.00 – $181.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $104.00 – $181.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $159.41 – $159.41 |
| Palisades Medical Center | North Bergen | not published | $164.13 – $164.13 |
| Raritan Bay Medical Center | Perth Amboy | not published | $164.13 – $164.13 |
| Riverview Medical Center | Red Bank | not published | $159.41 – $159.41 |
| Southern Ocean Medical Center | Manahawkin | not published | $159.41 – $159.41 |