#afb mycobacteria suscep. #1 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$7.31
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.
?
What you pay up front if you don't use insurance.
$44.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.98 with HORIZON vs $77.42 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $0.98 | ↓ -87% |
| OPTUM HEALTH | MANAGED MEDICAID | $5.85 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $7.31 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $7.31 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7.31 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7.68 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $9.14 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $9.72 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $11.04 | ↑ +51% |
| OXFORD | ALL PRODUCTS | $22.00 | ↑ +201% |
| UNITED HEALTHCARE | HMO | $24.86 | ↑ +240% |
| HORIZON | OMNIA | $28.82 | ↑ +294% |
| HORIZON | WORKERS COMP | $30.30 | ↑ +315% |
| INTERGROUP | ALL PRODUCTS | $30.80 | ↑ +321% |
| CIGNA | HMO | $32.83 | ↑ +349% |
| CIGNA | PPO | $32.83 | ↑ +349% |
| HORIZON | PIP | $33.00 | ↑ +351% |
| BERGEN RISK | ALL PRODUCTS | $33.00 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $34.76 | ↑ +376% |
| CIGNA | BH | $35.20 | ↑ +382% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $37.40 | ↑ +412% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $37.40 | ↑ +412% |
| CHN | ALL PRODUCTS | $37.40 | ↑ +412% |
| QUALCARE | PPO | $38.81 | ↑ +431% |
| QUALCARE | WORKERS COMP | $38.81 | ↑ +431% |
| QUALCARE | HMO | $38.81 | ↑ +431% |
| HORIZON | HMO | $41.91 | ↑ +473% |
| HORIZON | INDEMNITY | $42.12 | ↑ +476% |
| HORIZON | SHP | $42.39 | ↑ +480% |
| HORIZON | FEDERAL | $42.91 | ↑ +487% |
| HORIZON | PPO | $42.91 | ↑ +487% |
| AMERIHEALTH | LOCAL HMO | $44.00 | ↑ +502% |
| AMERIHEALTH | REGIONAL HMO | $44.00 | ↑ +502% |
| AETNA | PPO | $77.42 | ↑ +959% |
| AETNA | HMO | $77.42 | ↑ +959% |
| AETNA | ASA | $77.42 | ↑ +959% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7.31 | $7.31 – $33.50 |
| Ocean University Medical Center | Brick | $7.31 | $0.80 – $33.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7.31 | $0.80 – $34.40 |
| Jersey Shore University Medical Center | Neptune City | $7.31 | $5.85 – $33.50 |
| Palisades Medical Center | North Bergen | $7.31 | $1.08 – $33.50 |
| Raritan Bay Medical Center | Perth Amboy | $7.31 | $7.31 – $33.50 |
| Riverview Medical Center | Red Bank | $7.31 | $0.76 – $33.50 |
| Southern Ocean Medical Center | Manahawkin | $7.31 | $7.31 – $33.50 |