All tstg perq&iq drugs/biol at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$46.22
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.
$165.00
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.
$11.90 with KARNA vs $540.00 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 | $11.90 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $29.70 | ↓ -36% |
| OPTUM HEALTH | MANAGED MEDICAID | $36.98 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $41.42 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $46.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $46.38 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $47.19 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.53 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $81.68 | ↑ +77% |
| HORIZON | OMNIA | $108.06 | ↑ +134% |
| HORIZON | WORKERS COMP | $113.62 | ↑ +146% |
| INTERGROUP | ALL PRODUCTS | $115.50 | ↑ +150% |
| HORIZON | PIP | $123.75 | ↑ +168% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +168% |
| LHP HEALTH | ALL PRODUCTS | $130.35 | ↑ +182% |
| CIGNA | BH | $132.00 | ↑ +186% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $140.25 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +203% |
| CHN | ALL PRODUCTS | $140.25 | ↑ +203% |
| QUALCARE | HMO | $145.53 | ↑ +215% |
| QUALCARE | PPO | $145.53 | ↑ +215% |
| QUALCARE | WORKERS COMP | $145.53 | ↑ +215% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $148.50 | ↑ +221% |
| AETNA | ASA | $157.08 | ↑ +240% |
| AETNA | PPO | $157.08 | ↑ +240% |
| AETNA | HMO | $157.08 | ↑ +240% |
| HORIZON | HMO | $157.15 | ↑ +240% |
| HORIZON | INDEMNITY | $157.95 | ↑ +242% |
| HORIZON | SHP | $158.96 | ↑ +244% |
| CIGNA | HMO | $159.64 | ↑ +245% |
| CIGNA | PPO | $159.64 | ↑ +245% |
| HORIZON | PPO | $160.91 | ↑ +248% |
| HORIZON | FEDERAL | $160.91 | ↑ +248% |
| AMERIHEALTH | LOCAL HMO | $165.00 | ↑ +257% |
| AMERIHEALTH | REGIONAL HMO | $165.00 | ↑ +257% |
| OXFORD | ALL PRODUCTS | $439.00 | ↑ +850% |
| UNITED HEALTHCARE | HMO | $540.00 | ↑ +1068% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $391.00 |
| Ocean University Medical Center | Brick | $42.90 | $11.56 – $391.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $11.90 – $641.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $11.56 – $411.00 |
| Palisades Medical Center | North Bergen | $46.22 | $11.90 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $11.90 – $387.00 |
| Riverview Medical Center | Red Bank | $43.44 | $11.56 – $396.00 |
| Southern Ocean Medical Center | Manahawkin | $42.90 | $11.56 – $393.00 |