Adapt behavior tx phys/qhp at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$189.21
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.
$206.00
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.
$25.46 with KARNA vs $1,673.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $25.46 | ↓ -87% |
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $51.71 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.92 | ↓ -69% |
| HORIZON | MANAGED MEDICAID | $101.97 | ↓ -46% |
| HORIZON | OMNIA | $134.91 | ↓ -29% |
| HORIZON | WORKERS COMP | $141.85 | ↓ -25% |
| INTERGROUP | ALL PRODUCTS | $144.20 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $151.37 | ↓ -20% |
| BERGEN RISK | ALL PRODUCTS | $154.50 | ↓ -18% |
| HORIZON | PIP | $154.50 | ↓ -18% |
| LHP HEALTH | ALL PRODUCTS | $162.74 | ↓ -14% |
| CIGNA | BH | $164.80 | ↓ -13% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $175.10 | ↓ -7% |
| CHN | ALL PRODUCTS | $175.10 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↓ -7% |
| QUALCARE | HMO | $181.69 | ↓ -4% |
| QUALCARE | PPO | $181.69 | ↓ -4% |
| QUALCARE | WORKERS COMP | $181.69 | ↓ -4% |
| AETNA | MEDICARE ADVANTAGE | $184.38 | ↓ -3% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $185.40 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.21 | ↑ +0% |
| AETNA | ASA | $196.11 | ↑ +4% |
| AETNA | HMO | $196.11 | ↑ +4% |
| AETNA | PPO | $196.11 | ↑ +4% |
| HORIZON | HMO | $196.19 | ↑ +4% |
| HORIZON | INDEMNITY | $197.20 | ↑ +4% |
| HORIZON | SHP | $198.46 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $198.68 | ↑ +5% |
| CIGNA | HMO | $199.31 | ↑ +5% |
| CIGNA | PPO | $199.31 | ↑ +5% |
| HORIZON | FEDERAL | $200.89 | ↑ +6% |
| HORIZON | PPO | $200.89 | ↑ +6% |
| AMERIHEALTH | LOCAL HMO | $206.00 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $206.00 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $1,635.00 | ↑ +764% |
| UNITED HEALTHCARE | HMO | $1,673.00 | ↑ +784% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $393.00 |
| Ocean University Medical Center | Brick | $175.59 | $24.94 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $177.99 | $21.55 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $21.55 – $426.00 |
| Palisades Medical Center | North Bergen | $189.21 | $25.46 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $25.46 – $389.00 |
| Riverview Medical Center | Red Bank | $177.84 | $24.94 – $399.00 |
| Southern Ocean Medical Center | Manahawkin | $175.59 | $21.55 – $396.00 |