Breast augmentation 19325 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$11,269.09
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.
$15,468.00
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.
$1,332.45 with KARNA vs $29,297.00 with UNITED HEALTHCARE — 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 | $1,332.45 | ↓ -88% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $2,784.24 | ↓ -75% |
| OPTUM HEALTH | MANAGED MEDICAID | $3,402.96 | ↓ -70% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $3,882.47 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,423.85 | ↓ -61% |
| AETNA | MEDICARE ADVANTAGE | $4,578.53 | ↓ -59% |
| CHN | ALL PRODUCTS | $7,057.81 | ↓ -37% |
| QUALCARE | HMO | $7,712.00 | ↓ -32% |
| AETNA | ASA | $7,773.00 | ↓ -31% |
| AETNA | HMO | $7,773.00 | ↓ -31% |
| AETNA | PPO | $7,773.00 | ↓ -31% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↓ -29% |
| CIGNA | HMO | $8,357.00 | ↓ -26% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,539.00 | ↓ -24% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↓ -21% |
| CIGNA | PPO | $10,049.00 | ↓ -11% |
| HORIZON | OMNIA | $10,129.99 | ↓ -10% |
| INTERGROUP | ALL PRODUCTS | $10,827.60 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $11,269.09 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $11,269.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,269.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $11,269.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,269.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,269.09 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $11,601.00 | ↑ +3% |
| HORIZON | PIP | $11,601.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11,832.54 | ↑ +5% |
| CIGNA | BH | $12,374.40 | ↑ +10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,147.80 | ↑ +17% |
| QUALCARE | PPO | $13,766.52 | ↑ +22% |
| QUALCARE | WORKERS COMP | $13,766.52 | ↑ +22% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,921.20 | ↑ +24% |
| HORIZON | HMO | $14,731.72 | ↑ +31% |
| HORIZON | INDEMNITY | $14,807.52 | ↑ +31% |
| HORIZON | SHP | $14,901.87 | ↑ +32% |
| HORIZON | PPO | $15,084.39 | ↑ +34% |
| HORIZON | FEDERAL | $15,084.39 | ↑ +34% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +49% |
| OXFORD | ALL PRODUCTS | $21,696.00 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $29,297.00 | ↑ +160% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast augmentation 19325 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $10,591.60 | $10,591.60 – $12,709.92 |
| Ocean University Medical Center | Brick | $10,457.82 | $1,286.53 – $15,419.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $10,600.79 | $539.92 – $15,419.08 |
| Jersey Shore University Medical Center | Neptune City | $10,591.60 | $1,286.53 – $12,709.92 |
| Palisades Medical Center | North Bergen | $11,269.09 | $531.82 – $12,283.31 |
| Raritan Bay Medical Center | Perth Amboy | $10,600.79 | $674.90 – $12,720.94 |
| Riverview Medical Center | Red Bank | $10,591.60 | $1,286.53 – $12,709.92 |
| Southern Ocean Medical Center | Manahawkin | $10,457.82 | $1,286.53 – $12,549.39 |