Biopsy forearm soft tissues at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$3,370.52
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.
$5,726.00
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.
$815.32 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 | $815.32 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,030.68 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $1,437.23 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,637.64 | ↓ -51% |
| OPTUM HEALTH | MANAGED MEDICAID | $2,696.42 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -19% |
| AETNA | MEDICARE ADVANTAGE | $3,285.96 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $3,370.52 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,370.52 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3,370.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,370.52 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,370.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,370.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,539.05 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↑ +5% |
| HORIZON | OMNIA | $3,749.96 | ↑ +11% |
| INTERGROUP | ALL PRODUCTS | $4,008.20 | ↑ +19% |
| HORIZON | PIP | $4,294.50 | ↑ +27% |
| BERGEN RISK | ALL PRODUCTS | $4,294.50 | ↑ +27% |
| CIGNA | BH | $4,580.80 | ↑ +36% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,867.10 | ↑ +44% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,867.10 | ↑ +44% |
| CHN | ALL PRODUCTS | $4,867.10 | ↑ +44% |
| QUALCARE | PPO | $5,096.14 | ↑ +51% |
| QUALCARE | WORKERS COMP | $5,096.14 | ↑ +51% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,153.40 | ↑ +53% |
| CIGNA | HMO | $5,207.22 | ↑ +54% |
| CIGNA | PPO | $5,207.22 | ↑ +54% |
| HORIZON | HMO | $5,453.44 | ↑ +62% |
| HORIZON | INDEMNITY | $5,481.50 | ↑ +63% |
| HORIZON | SHP | $5,516.43 | ↑ +64% |
| HORIZON | FEDERAL | $5,584.00 | ↑ +66% |
| HORIZON | PPO | $5,584.00 | ↑ +66% |
| QUALCARE | HMO | $7,712.00 | ↑ +129% |
| AETNA | PPO | $7,773.00 | ↑ +131% |
| AETNA | ASA | $7,773.00 | ↑ +131% |
| AETNA | HMO | $7,773.00 | ↑ +131% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +138% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +164% |
| OXFORD | ALL PRODUCTS | $9,571.00 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $11,528.00 | ↑ +242% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +398% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy forearm soft tissues at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |
| Ocean University Medical Center | Brick | $3,127.88 | $784.88 – $3,753.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,170.64 | $239.40 – $3,170.64 |
| Jersey Shore University Medical Center | Neptune City | $3,167.89 | $784.88 – $3,801.47 |
| Palisades Medical Center | North Bergen | $3,370.52 | $815.32 – $3,673.87 |
| Raritan Bay Medical Center | Perth Amboy | $3,170.64 | $815.32 – $3,804.76 |
| Riverview Medical Center | Red Bank | $3,167.89 | $784.88 – $3,801.47 |
| Southern Ocean Medical Center | Manahawkin | $3,127.88 | $784.88 – $3,753.45 |