Biopsy of heart lining at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$3,706.68
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.
$6,545.00
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.
$1,132.92 with KARNA vs $20,769.00 with AETNA — 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 | $1,132.92 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,178.10 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $1,642.80 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,871.87 | ↓ -50% |
| OPTUM HEALTH | MANAGED MEDICAID | $2,965.35 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $3,239.78 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $3,686.08 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $3,706.68 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,706.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,706.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,706.68 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3,706.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,706.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,892.02 | ↑ +5% |
| HORIZON | OMNIA | $4,286.32 | ↑ +16% |
| INTERGROUP | ALL PRODUCTS | $4,581.50 | ↑ +24% |
| BERGEN RISK | ALL PRODUCTS | $4,908.75 | ↑ +32% |
| HORIZON | PIP | $4,908.75 | ↑ +32% |
| CIGNA | BH | $5,236.00 | ↑ +41% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,563.25 | ↑ +50% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,563.25 | ↑ +50% |
| CHN | ALL PRODUCTS | $5,563.25 | ↑ +50% |
| LHP HEALTH | ALL PRODUCTS | $6,044.00 | ↑ +63% |
| HORIZON | HMO | $6,233.46 | ↑ +68% |
| HORIZON | INDEMNITY | $6,265.53 | ↑ +69% |
| HORIZON | SHP | $6,305.45 | ↑ +70% |
| HORIZON | PPO | $6,382.68 | ↑ +72% |
| HORIZON | FEDERAL | $6,382.68 | ↑ +72% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +116% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $13,088.00 | ↑ +253% |
| QUALCARE | PPO | $13,492.00 | ↑ +264% |
| QUALCARE | WORKERS COMP | $13,492.00 | ↑ +264% |
| QUALCARE | HMO | $13,492.00 | ↑ +264% |
| CIGNA | HMO | $15,091.00 | ↑ +307% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,374.00 | ↑ +315% |
| UNITED HEALTHCARE | HMO | $15,823.00 | ↑ +327% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +353% |
| CIGNA | PPO | $20,078.00 | ↑ +442% |
| AETNA | PPO | $20,769.00 | ↑ +460% |
| AETNA | HMO | $20,769.00 | ↑ +460% |
| AETNA | ASA | $20,769.00 | ↑ +460% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Ocean University Medical Center | Brick | $3,439.84 | $1,081.12 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $1,132.92 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $1,081.12 – $4,180.61 |
| Palisades Medical Center | North Bergen | $3,706.68 | $1,132.92 – $4,040.29 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $1,132.92 – $4,184.24 |
| Riverview Medical Center | Red Bank | $3,483.84 | $1,081.12 – $4,180.61 |
| Southern Ocean Medical Center | Manahawkin | $3,439.84 | $1,081.12 – $4,127.81 |