Brace fx hum ovr shldr sm at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
not published by hospital
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.
$576.00
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.
$88.74 with CLOVER vs $590.21 with KARNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $88.74 | — |
| OPTUM HEALTH | MANAGED MEDICAID | $108.46 | — |
| AETNA | MEDICARE ADVANTAGE | $145.93 | — |
| AETNA | MANAGED MEDICAID | $241.57 | — |
| AMERIHEALTH | LOCAL HMO | $242.01 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $246.50 | — |
| CIGNA | PPO | $262.28 | — |
| CIGNA | HMO | $262.28 | — |
| AMERIHEALTH | REGIONAL HMO | $268.93 | — |
| HORIZON | WORKERS COMP | $271.15 | — |
| HORIZON | PIP | $271.15 | — |
| BERGEN RISK | ALL PRODUCTS | $295.80 | — |
| CHN | ALL PRODUCTS | $320.45 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $320.45 | — |
| HORIZON | OMNIA | $322.87 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $335.24 | — |
| INTERGROUP | ALL PRODUCTS | $345.10 | — |
| AETNA | PPO | $346.09 | — |
| AETNA | HMO | $346.09 | — |
| AETNA | ASA | $346.09 | — |
| LHP HEALTH | ALL PRODUCTS | $389.47 | — |
| CIGNA | BH | $394.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $419.05 | — |
| QUALCARE | WORKERS COMP | $434.83 | — |
| QUALCARE | HMO | $434.83 | — |
| QUALCARE | PPO | $434.83 | — |
| HORIZON | HMO | $469.53 | — |
| HORIZON | INDEMNITY | $471.95 | — |
| HORIZON | SHP | $474.96 | — |
| HORIZON | FEDERAL | $480.77 | — |
| HORIZON | PPO | $480.77 | — |
| KARNA | MEDICARE ADVANTAGE | $590.21 | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $47.30 | $166.43 – $775.50 |
| Cooperman Barnabas Medical Center | Livingston | $38.14 | $389.70 – $779.40 |
| Community Medical Center | Toms River | $37.33 | $389.70 – $775.50 |
| Clara Maass Medical Center | Belleville | $35.80 | $389.70 – $775.50 |
| Newark Beth Israel Medical Center | Newark | $37.49 | $171.33 – $775.50 |
| Jersey City Medical Center | Jersey City | $37.40 | $215.38 – $775.50 |
| Monmouth Medical Center | Long Branch | $39.38 | $389.70 – $775.50 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $41.30 | $389.70 – $775.50 |