Breath recording infant at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$624.87
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.
$1,214.00
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.
$218.52 with CLOVER vs $5,456.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $218.52 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $304.71 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $347.20 | ↓ -44% |
| OPTUM HEALTH | MANAGED MEDICAID | $499.89 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $600.93 | ↓ -4% |
| AETNA | MEDICARE ADVANTAGE | $619.82 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $624.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $624.87 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $624.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $624.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $624.87 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $624.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $656.11 | ↑ +5% |
| HORIZON | OMNIA | $795.05 | ↑ +27% |
| HORIZON | WORKERS COMP | $835.96 | ↑ +34% |
| INTERGROUP | ALL PRODUCTS | $849.80 | ↑ +36% |
| HORIZON | PIP | $910.50 | ↑ +46% |
| BERGEN RISK | ALL PRODUCTS | $910.50 | ↑ +46% |
| LHP HEALTH | ALL PRODUCTS | $959.06 | ↑ +53% |
| CIGNA | BH | $971.20 | ↑ +55% |
| CHN | ALL PRODUCTS | $1,031.90 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,031.90 | ↑ +65% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,031.90 | ↑ +65% |
| QUALCARE | PPO | $1,070.75 | ↑ +71% |
| QUALCARE | HMO | $1,070.75 | ↑ +71% |
| QUALCARE | WORKERS COMP | $1,070.75 | ↑ +71% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,092.60 | ↑ +75% |
| AETNA | ASA | $1,155.73 | ↑ +85% |
| AETNA | HMO | $1,155.73 | ↑ +85% |
| AETNA | PPO | $1,155.73 | ↑ +85% |
| HORIZON | HMO | $1,156.21 | ↑ +85% |
| HORIZON | INDEMNITY | $1,162.16 | ↑ +86% |
| HORIZON | SHP | $1,169.57 | ↑ +87% |
| CIGNA | PPO | $1,174.55 | ↑ +88% |
| CIGNA | HMO | $1,174.55 | ↑ +88% |
| HORIZON | PPO | $1,183.89 | ↑ +89% |
| HORIZON | FEDERAL | $1,183.89 | ↑ +89% |
| AMERIHEALTH | REGIONAL HMO | $1,214.00 | ↑ +94% |
| AMERIHEALTH | LOCAL HMO | $1,214.00 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $5,390.00 | ↑ +763% |
| UNITED HEALTHCARE | HMO | $5,456.00 | ↑ +773% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Breath recording infant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $910.00 |
| Ocean University Medical Center | Brick | $579.88 | $389.00 – $623.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $530.60 – $610.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $587.30 – $704.76 |
| Palisades Medical Center | North Bergen | $624.87 | $236.40 – $1,815.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $300.00 – $640.71 |
| Riverview Medical Center | Red Bank | $587.30 | $587.30 – $1,550.00 |
| Southern Ocean Medical Center | Manahawkin | $579.88 | $392.00 – $695.86 |