Bx perianal mass at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,073.68
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.
$2,250.00
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.
$405.00 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $405.00 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $564.75 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $643.50 | ↓ -40% |
| OPTUM HEALTH | MANAGED MEDICAID | $858.95 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $1,056.92 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,073.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,073.68 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,127.37 | ↑ +5% |
| HORIZON | OMNIA | $1,473.53 | ↑ +37% |
| INTERGROUP | ALL PRODUCTS | $1,575.00 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $1,687.50 | ↑ +57% |
| HORIZON | PIP | $1,687.50 | ↑ +57% |
| CIGNA | BH | $1,800.00 | ↑ +68% |
| LHP HEALTH | ALL PRODUCTS | $1,845.00 | ↑ +72% |
| CHN | ALL PRODUCTS | $1,912.50 | ↑ +78% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,912.50 | ↑ +78% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,912.50 | ↑ +78% |
| QUALCARE | PPO | $2,002.50 | ↑ +87% |
| QUALCARE | WORKERS COMP | $2,002.50 | ↑ +87% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,025.00 | ↑ +89% |
| CIGNA | PPO | $2,046.15 | ↑ +91% |
| CIGNA | HMO | $2,046.15 | ↑ +91% |
| HORIZON | HMO | $2,142.90 | ↑ +100% |
| HORIZON | INDEMNITY | $2,153.93 | ↑ +101% |
| HORIZON | SHP | $2,167.65 | ↑ +102% |
| HORIZON | PPO | $2,194.20 | ↑ +104% |
| HORIZON | FEDERAL | $2,194.20 | ↑ +104% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $4,721.00 | ↑ +340% |
| UNITED HEALTHCARE | HMO | $5,606.00 | ↑ +422% |
| QUALCARE | HMO | $7,712.00 | ↑ +618% |
| AETNA | ASA | $7,773.00 | ↑ +624% |
| AETNA | PPO | $7,773.00 | ↑ +624% |
| AETNA | HMO | $7,773.00 | ↑ +624% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +646% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +729% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1465% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |
| Ocean University Medical Center | Brick | $996.39 | $911.71 – $1,195.67 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,010.01 | $911.71 – $1,010.01 |
| Jersey Shore University Medical Center | Neptune City | $1,009.14 | $1,009.14 – $1,210.96 |
| Palisades Medical Center | North Bergen | $1,073.68 | $1,073.68 – $1,170.32 |
| Raritan Bay Medical Center | Perth Amboy | $1,010.01 | $1,010.01 – $1,212.01 |
| Riverview Medical Center | Red Bank | $1,009.14 | $1,009.14 – $1,210.96 |
| Southern Ocean Medical Center | Manahawkin | $996.39 | $996.39 – $1,195.67 |