Athrectomy tib/pero/unilat/ini ves 37229 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$21,146.91
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.
$25,850.00
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.
$1,401.50 with KARNA vs $30,778.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,401.50 | ↓ -93% |
| CLOVER | MEDICARE ADVANTAGE | $4,653.00 | ↓ -78% |
| LHP HEALTH | ALL PRODUCTS | $6,044.00 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $6,488.35 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,393.10 | ↓ -65% |
| AETNA | ASA | $7,773.00 | ↓ -63% |
| AETNA | HMO | $7,773.00 | ↓ -63% |
| AETNA | PPO | $7,773.00 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↓ -62% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↓ -58% |
| HORIZON | MANAGED MEDICAID | $12,795.75 | ↓ -39% |
| HORIZON | OMNIA | $12,826.00 | ↓ -39% |
| QUALCARE | PPO | $14,850.00 | ↓ -30% |
| QUALCARE | WORKERS COMP | $14,850.00 | ↓ -30% |
| CIGNA | HMO | $15,091.00 | ↓ -29% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,374.00 | ↓ -27% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -26% |
| HORIZON | SHP | $15,733.00 | ↓ -26% |
| HORIZON | WORKERS COMP | $16,802.00 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $16,917.53 | ↓ -20% |
| INTERGROUP | ALL PRODUCTS | $18,095.00 | ↓ -14% |
| HORIZON | INDEMNITY | $18,625.00 | ↓ -12% |
| HORIZON | HMO | $18,666.00 | ↓ -12% |
| HORIZON | FEDERAL | $18,964.00 | ↓ -10% |
| HORIZON | PPO | $18,964.00 | ↓ -10% |
| HORIZON | PIP | $19,387.50 | ↓ -8% |
| CIGNA | PPO | $20,078.00 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $20,278.00 | ↓ -4% |
| CIGNA | BH | $20,680.00 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $21,146.91 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $21,146.91 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $21,146.91 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $21,146.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $21,146.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21,146.91 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21,972.50 | ↑ +4% |
| CHN | ALL PRODUCTS | $21,972.50 | ↑ +4% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21,972.50 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22,204.26 | ↑ +5% |
| QUALCARE | HMO | $22,799.70 | ↑ +8% |
| OXFORD | ALL PRODUCTS | $25,336.00 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $30,778.00 | ↑ +46% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Ocean University Medical Center | Brick | $19,624.54 | $1,373.43 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $1,401.50 – $19,892.81 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $1,373.43 – $23,850.69 |
| Palisades Medical Center | North Bergen | $21,146.91 | $1,401.50 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $1,401.50 – $23,871.38 |
| Riverview Medical Center | Red Bank | $19,875.58 | $1,373.43 – $23,850.69 |
| Southern Ocean Medical Center | Manahawkin | $19,624.54 | $1,373.43 – $23,549.45 |