Bundled special stain group 1 microorganisms at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$62.92
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.
$369.00
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.
$19.33 with HORIZON vs $842.06 with AETNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $19.33 | ↓ -69% |
| OPTUM HEALTH | MANAGED MEDICAID | $50.34 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $62.66 | ↓ -0% |
| VACCN | ALL PRODUCTS | $62.92 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $62.92 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $66.07 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $92.62 | ↑ +47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $105.53 | ↑ +68% |
| UNITED HEALTHCARE | HMO | $114.92 | ↑ +83% |
| OXFORD | ALL PRODUCTS | $184.50 | ↑ +193% |
| KARNA | MEDICARE ADVANTAGE | $218.71 | ↑ +248% |
| HORIZON | OMNIA | $241.66 | ↑ +284% |
| HORIZON | WORKERS COMP | $254.09 | ↑ +304% |
| INTERGROUP | ALL PRODUCTS | $258.30 | ↑ +311% |
| BERGEN RISK | ALL PRODUCTS | $276.75 | ↑ +340% |
| HORIZON | PIP | $276.75 | ↑ +340% |
| LHP HEALTH | ALL PRODUCTS | $291.51 | ↑ +363% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $291.51 | ↑ +363% |
| CIGNA | BH | $295.20 | ↑ +369% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $313.65 | ↑ +398% |
| CHN | ALL PRODUCTS | $313.65 | ↑ +398% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $313.65 | ↑ +398% |
| QUALCARE | WORKERS COMP | $325.46 | ↑ +417% |
| QUALCARE | HMO | $325.46 | ↑ +417% |
| QUALCARE | PPO | $325.46 | ↑ +417% |
| HORIZON | HMO | $351.44 | ↑ +459% |
| HORIZON | INDEMNITY | $353.24 | ↑ +461% |
| HORIZON | SHP | $355.49 | ↑ +465% |
| CIGNA | HMO | $357.01 | ↑ +467% |
| CIGNA | PPO | $357.01 | ↑ +467% |
| HORIZON | FEDERAL | $359.85 | ↑ +472% |
| HORIZON | PPO | $359.85 | ↑ +472% |
| AMERIHEALTH | LOCAL HMO | $369.00 | ↑ +486% |
| AMERIHEALTH | REGIONAL HMO | $369.00 | ↑ +486% |
| AETNA | HMO | $842.06 | ↑ +1238% |
| AETNA | ASA | $842.06 | ↑ +1238% |
| AETNA | PPO | $842.06 | ↑ +1238% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Ocean University Medical Center | Brick | $58.39 | $14.30 – $207.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $14.30 – $218.71 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $207.64 |
| Palisades Medical Center | North Bergen | $62.92 | $21.32 – $218.71 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $218.71 |
| Riverview Medical Center | Red Bank | $59.14 | $14.95 – $207.64 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $207.64 |