Biopsy of upper nose/throat at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$3,819.23
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.
$5,304.00
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.
$271.94 with KARNA vs $16,802.00 with HORIZON — 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 | $271.94 | ↓ -93% |
| CLOVER | MEDICARE ADVANTAGE | $954.72 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $1,331.30 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,516.94 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $3,055.39 | ↓ -20% |
| HORIZON | OMNIA | $3,473.59 | ↓ -9% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -7% |
| INTERGROUP | ALL PRODUCTS | $3,712.80 | ↓ -3% |
| AETNA | MEDICARE ADVANTAGE | $3,723.23 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,819.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,819.23 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $3,978.00 | ↑ +4% |
| HORIZON | PIP | $3,978.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,010.20 | ↑ +5% |
| CIGNA | BH | $4,243.20 | ↑ +11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,508.40 | ↑ +18% |
| CHN | ALL PRODUCTS | $4,508.40 | ↑ +18% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,508.40 | ↑ +18% |
| QUALCARE | PPO | $4,720.56 | ↑ +24% |
| QUALCARE | WORKERS COMP | $4,720.56 | ↑ +24% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,773.60 | ↑ +25% |
| CIGNA | PPO | $4,823.46 | ↑ +26% |
| CIGNA | HMO | $4,823.46 | ↑ +26% |
| HORIZON | HMO | $5,051.53 | ↑ +32% |
| HORIZON | INDEMNITY | $5,077.52 | ↑ +33% |
| HORIZON | SHP | $5,109.87 | ↑ +34% |
| HORIZON | FEDERAL | $5,172.46 | ↑ +35% |
| HORIZON | PPO | $5,172.46 | ↑ +35% |
| OXFORD | ALL PRODUCTS | $7,146.00 | ↑ +87% |
| QUALCARE | HMO | $7,712.00 | ↑ +102% |
| AETNA | ASA | $7,773.00 | ↑ +104% |
| AETNA | PPO | $7,773.00 | ↑ +104% |
| AETNA | HMO | $7,773.00 | ↑ +104% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $8,568.00 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +133% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +340% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of upper nose/throat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,589.62 | $3,589.62 – $4,307.55 |
| Ocean University Medical Center | Brick | $3,544.29 | $260.95 – $4,253.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,592.74 | $94.38 – $3,592.74 |
| Jersey Shore University Medical Center | Neptune City | $3,589.62 | $260.95 – $4,307.55 |
| Palisades Medical Center | North Bergen | $3,819.23 | $271.94 – $4,162.96 |
| Raritan Bay Medical Center | Perth Amboy | $3,592.74 | $271.94 – $4,311.29 |
| Riverview Medical Center | Red Bank | $3,589.62 | $260.95 – $4,307.55 |
| Southern Ocean Medical Center | Manahawkin | $3,544.29 | $260.95 – $4,253.14 |