Benign lesion paring 4+ at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$234.00
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.
$578.00
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.
$59.26 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 | $59.26 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $104.04 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $145.08 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $165.31 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $187.20 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $231.52 | ↓ -1% |
| HORIZON | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $234.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $234.00 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $245.70 | ↑ +5% |
| HORIZON | OMNIA | $378.53 | ↑ +62% |
| INTERGROUP | ALL PRODUCTS | $404.60 | ↑ +73% |
| HORIZON | PIP | $433.50 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $433.50 | ↑ +85% |
| CIGNA | BH | $462.40 | ↑ +98% |
| LHP HEALTH | ALL PRODUCTS | $473.96 | ↑ +103% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $491.30 | ↑ +110% |
| CHN | ALL PRODUCTS | $491.30 | ↑ +110% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $491.30 | ↑ +110% |
| QUALCARE | PPO | $514.42 | ↑ +120% |
| QUALCARE | WORKERS COMP | $514.42 | ↑ +120% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $520.20 | ↑ +122% |
| CIGNA | PPO | $525.63 | ↑ +125% |
| CIGNA | HMO | $525.63 | ↑ +125% |
| HORIZON | HMO | $550.49 | ↑ +135% |
| HORIZON | INDEMNITY | $553.32 | ↑ +136% |
| HORIZON | SHP | $556.85 | ↑ +138% |
| HORIZON | FEDERAL | $563.67 | ↑ +141% |
| HORIZON | PPO | $563.67 | ↑ +141% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +1066% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +1270% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +1505% |
| QUALCARE | HMO | $7,712.00 | ↑ +3196% |
| AETNA | ASA | $7,773.00 | ↑ +3222% |
| AETNA | PPO | $7,773.00 | ↑ +3222% |
| AETNA | HMO | $7,773.00 | ↑ +3222% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +3324% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +3705% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +7080% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Ocean University Medical Center | Brick | $217.16 | $57.82 – $260.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $59.26 – $220.12 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $57.82 – $263.92 |
| Palisades Medical Center | North Bergen | $234.00 | $59.26 – $255.06 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $59.26 – $264.15 |
| Riverview Medical Center | Red Bank | $219.93 | $57.82 – $263.92 |
| Southern Ocean Medical Center | Manahawkin | $217.16 | $57.82 – $260.59 |