Aco ccm; at least 20 min 99490aco at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$108.93
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.
not published by hospital
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.
$84.42 with KARNA vs $114.38 with UNITED COMMUNITY/AMERICHOICE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $84.42 | ↓ -23% |
| OPTUM HEALTH | MANAGED MEDICAID | $87.15 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $103.08 | ↓ -5% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $108.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $108.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $108.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $108.93 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $108.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $108.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $114.38 | ↑ +5% |
Visitor-reported prices
Comments
Aco ccm; at least 20 min 99490aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Ocean University Medical Center | Brick | $101.09 | $81.98 – $158.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $84.42 – $158.13 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $81.98 – $122.86 |
| Palisades Medical Center | North Bergen | $108.93 | $84.42 – $118.74 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $84.42 – $122.97 |
| Riverview Medical Center | Red Bank | $102.38 | $81.98 – $122.86 |
| Southern Ocean Medical Center | Manahawkin | $101.09 | $81.98 – $121.31 |