Analysis; simple cranial nerv pulse gen prgrmg 95976 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$43.91
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.
$120.00
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.
$21.60 with CLOVER vs $18,693.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $21.60 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $30.12 | ↓ -31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.32 | ↓ -22% |
| OPTUM HEALTH | MANAGED MEDICAID | $35.13 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $43.61 | ↓ -1% |
| HORIZON | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.91 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $46.11 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $65.28 | ↑ +49% |
| HORIZON | OMNIA | $78.59 | ↑ +79% |
| INTERGROUP | ALL PRODUCTS | $84.00 | ↑ +91% |
| UNITED HEALTHCARE | HMO | $86.59 | ↑ +97% |
| OXFORD | ALL PRODUCTS | $88.16 | ↑ +101% |
| BERGEN RISK | ALL PRODUCTS | $90.00 | ↑ +105% |
| HORIZON | PIP | $90.00 | ↑ +105% |
| CIGNA | BH | $96.00 | ↑ +119% |
| LHP HEALTH | ALL PRODUCTS | $98.40 | ↑ +124% |
| CHN | ALL PRODUCTS | $102.00 | ↑ +132% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $102.00 | ↑ +132% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.00 | ↑ +132% |
| QUALCARE | WORKERS COMP | $106.80 | ↑ +143% |
| QUALCARE | PPO | $106.80 | ↑ +143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $108.00 | ↑ +146% |
| CIGNA | PPO | $109.13 | ↑ +149% |
| CIGNA | HMO | $109.13 | ↑ +149% |
| HORIZON | HMO | $114.29 | ↑ +160% |
| HORIZON | INDEMNITY | $114.88 | ↑ +162% |
| HORIZON | SHP | $115.61 | ↑ +163% |
| HORIZON | PPO | $117.02 | ↑ +166% |
| HORIZON | FEDERAL | $117.02 | ↑ +166% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +6113% |
| QUALCARE | HMO | $7,712.00 | ↑ +17463% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +18149% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +20178% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +38165% |
| AETNA | PPO | $18,693.00 | ↑ +42471% |
| AETNA | HMO | $18,693.00 | ↑ +42471% |
| AETNA | ASA | $18,693.00 | ↑ +42471% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $63.38 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $65.28 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $63.38 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $65.28 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $65.28 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $63.38 |
| Southern Ocean Medical Center | Manahawkin | $40.75 | $40.75 – $63.38 |