_afb org id by sequencing rflx ast-sendout at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$115.36
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.
$595.00
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.
$92.29 with OPTUM HEALTH vs $1,580.82 with AETNA — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $92.29 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $96.64 | ↓ -16% |
| HORIZON | MANAGED MEDICAID | $97.17 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $115.36 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $115.36 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $115.36 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $115.36 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $121.13 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $144.20 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $153.43 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $192.50 | ↑ +67% |
| UNITED HEALTHCARE | HMO | $217.53 | ↑ +89% |
| HORIZON | OMNIA | $252.14 | ↑ +119% |
| HORIZON | WORKERS COMP | $265.11 | ↑ +130% |
| INTERGROUP | ALL PRODUCTS | $269.50 | ↑ +134% |
| HORIZON | PIP | $288.75 | ↑ +150% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +150% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $304.15 | ↑ +164% |
| CIGNA | BH | $308.00 | ↑ +167% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +184% |
| CHN | ALL PRODUCTS | $327.25 | ↑ +184% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +184% |
| QUALCARE | HMO | $339.57 | ↑ +194% |
| QUALCARE | PPO | $339.57 | ↑ +194% |
| QUALCARE | WORKERS COMP | $339.57 | ↑ +194% |
| HORIZON | HMO | $366.67 | ↑ +218% |
| HORIZON | INDEMNITY | $368.56 | ↑ +219% |
| HORIZON | SHP | $370.91 | ↑ +222% |
| HORIZON | FEDERAL | $375.45 | ↑ +225% |
| HORIZON | PPO | $375.45 | ↑ +225% |
| AMERIHEALTH | REGIONAL HMO | $385.00 | ↑ +234% |
| AMERIHEALTH | LOCAL HMO | $385.00 | ↑ +234% |
| CIGNA | HMO | $518.02 | ↑ +349% |
| CIGNA | PPO | $518.02 | ↑ +349% |
| AETNA | PPO | $1,580.82 | ↑ +1270% |
| AETNA | HMO | $1,580.82 | ↑ +1270% |
| AETNA | ASA | $1,580.82 | ↑ +1270% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $115.36 | $115.36 – $528.62 |
| Ocean University Medical Center | Brick | $115.36 | $101.52 – $528.62 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $115.36 | $101.52 – $542.91 |
| Jersey Shore University Medical Center | Neptune City | $115.36 | $92.29 – $528.62 |
| Palisades Medical Center | North Bergen | $115.36 | $107.19 – $528.62 |
| Raritan Bay Medical Center | Perth Amboy | $115.36 | $115.36 – $528.62 |
| Riverview Medical Center | Red Bank | $115.36 | $75.16 – $528.62 |
| Southern Ocean Medical Center | Manahawkin | $115.36 | $115.36 – $528.62 |