Biopsy of tear sac at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$2,747.43
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.
$3,065.00
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.
$539.96 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 | $539.96 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $551.70 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $769.32 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $876.59 | ↓ -68% |
| HORIZON | OMNIA | $2,007.27 | ↓ -27% |
| INTERGROUP | ALL PRODUCTS | $2,145.50 | ↓ -22% |
| OPTUM HEALTH | MANAGED MEDICAID | $2,197.95 | ↓ -20% |
| BERGEN RISK | ALL PRODUCTS | $2,298.75 | ↓ -16% |
| HORIZON | PIP | $2,298.75 | ↓ -16% |
| CIGNA | BH | $2,452.00 | ↓ -11% |
| LHP HEALTH | ALL PRODUCTS | $2,513.30 | ↓ -9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,605.25 | ↓ -5% |
| CHN | ALL PRODUCTS | $2,605.25 | ↓ -5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,605.25 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $2,702.32 | ↓ -2% |
| QUALCARE | PPO | $2,727.85 | ↓ -1% |
| QUALCARE | WORKERS COMP | $2,727.85 | ↓ -1% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $2,747.43 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $2,747.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,747.43 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,747.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,747.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,747.43 | ↑ +0% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,758.50 | ↑ +0% |
| CIGNA | PPO | $2,787.31 | ↑ +1% |
| CIGNA | HMO | $2,787.31 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,884.81 | ↑ +5% |
| HORIZON | HMO | $2,919.11 | ↑ +6% |
| HORIZON | INDEMNITY | $2,934.12 | ↑ +7% |
| HORIZON | SHP | $2,952.82 | ↑ +7% |
| HORIZON | PPO | $2,988.99 | ↑ +9% |
| HORIZON | FEDERAL | $2,988.99 | ↑ +9% |
| QUALCARE | HMO | $7,712.00 | ↑ +181% |
| AETNA | HMO | $7,773.00 | ↑ +183% |
| AETNA | ASA | $7,773.00 | ↑ +183% |
| AETNA | PPO | $7,773.00 | ↑ +183% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +192% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +224% |
| OXFORD | ALL PRODUCTS | $9,571.00 | ↑ +248% |
| UNITED HEALTHCARE | HMO | $11,528.00 | ↑ +320% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +512% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of tear sac at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Ocean University Medical Center | Brick | $2,549.65 | $522.81 – $3,059.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $72.60 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $522.81 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $539.96 – $2,994.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,584.50 | $539.96 – $3,101.40 |
| Riverview Medical Center | Red Bank | $2,582.26 | $522.81 – $3,098.71 |
| Southern Ocean Medical Center | Manahawkin | $2,549.65 | $522.81 – $3,059.57 |