Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$347.63
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.
$1,573.00
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.
$96.10 with KARNA vs $16,802.00 with HORIZON — 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 | $96.10 | ↓ -72% |
| OPTUM HEALTH | MANAGED MEDICAID | $278.11 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $283.14 | ↓ -19% |
| AETNA | MEDICARE ADVANTAGE | $342.51 | ↓ -1% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $347.63 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $347.63 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $347.63 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $347.63 | ↑ +0% |
| VACCN | ALL PRODUCTS | $347.63 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $347.63 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $365.02 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $394.82 | ↑ +14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $449.88 | ↑ +29% |
| HORIZON | OMNIA | $1,030.16 | ↑ +196% |
| INTERGROUP | ALL PRODUCTS | $1,101.10 | ↑ +217% |
| HORIZON | PIP | $1,179.75 | ↑ +239% |
| BERGEN RISK | ALL PRODUCTS | $1,179.75 | ↑ +239% |
| CIGNA | BH | $1,258.40 | ↑ +262% |
| LHP HEALTH | ALL PRODUCTS | $1,289.86 | ↑ +271% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,337.05 | ↑ +285% |
| CHN | ALL PRODUCTS | $1,337.05 | ↑ +285% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,337.05 | ↑ +285% |
| QUALCARE | PPO | $1,399.97 | ↑ +303% |
| QUALCARE | WORKERS COMP | $1,399.97 | ↑ +303% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,415.70 | ↑ +307% |
| CIGNA | PPO | $1,430.49 | ↑ +311% |
| CIGNA | HMO | $1,430.49 | ↑ +311% |
| HORIZON | HMO | $1,498.13 | ↑ +331% |
| HORIZON | INDEMNITY | $1,505.83 | ↑ +333% |
| HORIZON | SHP | $1,515.43 | ↑ +336% |
| HORIZON | FEDERAL | $1,533.99 | ↑ +341% |
| HORIZON | PPO | $1,533.99 | ↑ +341% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +685% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +822% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +980% |
| QUALCARE | HMO | $7,712.00 | ↑ +2118% |
| AETNA | ASA | $7,773.00 | ↑ +2136% |
| AETNA | PPO | $7,773.00 | ↑ +2136% |
| AETNA | HMO | $7,773.00 | ↑ +2136% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +2205% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +2461% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +4733% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |
| Ocean University Medical Center | Brick | $322.61 | $93.42 – $512.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $327.02 | $78.36 – $512.28 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $93.42 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $77.18 – $378.92 |
| Raritan Bay Medical Center | Perth Amboy | $327.02 | $96.10 – $606.70 |
| Riverview Medical Center | Red Bank | $326.73 | $93.42 – $392.08 |
| Southern Ocean Medical Center | Manahawkin | $322.61 | $93.42 – $387.13 |