Cdp-sot 6 cond w/i&r at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$151.80
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.
$749.00
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.
$81.70 with KARNA vs $749.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $81.70 | ↓ -46% |
| OPTUM HEALTH | MANAGED MEDICAID | $121.44 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $134.82 | ↓ -11% |
| AETNA | MEDICARE ADVANTAGE | $147.72 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $151.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $151.80 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $159.39 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $188.00 | ↑ +24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $214.21 | ↑ +41% |
| HORIZON | MANAGED MEDICAID | $370.76 | ↑ +144% |
| OXFORD | ALL PRODUCTS | $485.00 | ↑ +219% |
| UNITED HEALTHCARE | HMO | $487.00 | ↑ +221% |
| HORIZON | OMNIA | $490.52 | ↑ +223% |
| HORIZON | WORKERS COMP | $515.76 | ↑ +240% |
| INTERGROUP | ALL PRODUCTS | $524.30 | ↑ +245% |
| HORIZON | PIP | $561.75 | ↑ +270% |
| BERGEN RISK | ALL PRODUCTS | $561.75 | ↑ +270% |
| LHP HEALTH | ALL PRODUCTS | $591.71 | ↑ +290% |
| CIGNA | BH | $599.20 | ↑ +295% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $636.65 | ↑ +319% |
| CHN | ALL PRODUCTS | $636.65 | ↑ +319% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $636.65 | ↑ +319% |
| QUALCARE | HMO | $660.62 | ↑ +335% |
| QUALCARE | WORKERS COMP | $660.62 | ↑ +335% |
| QUALCARE | PPO | $660.62 | ↑ +335% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $674.10 | ↑ +344% |
| AETNA | ASA | $713.05 | ↑ +370% |
| AETNA | PPO | $713.05 | ↑ +370% |
| AETNA | HMO | $713.05 | ↑ +370% |
| HORIZON | HMO | $713.35 | ↑ +370% |
| HORIZON | INDEMNITY | $717.02 | ↑ +372% |
| HORIZON | SHP | $721.59 | ↑ +375% |
| CIGNA | HMO | $724.66 | ↑ +377% |
| CIGNA | PPO | $724.66 | ↑ +377% |
| HORIZON | PPO | $730.42 | ↑ +381% |
| HORIZON | FEDERAL | $730.42 | ↑ +381% |
| AMERIHEALTH | LOCAL HMO | $749.00 | ↑ +393% |
| AMERIHEALTH | REGIONAL HMO | $749.00 | ↑ +393% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Ocean University Medical Center | Brick | $140.87 | $78.57 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $81.70 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $78.57 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $81.70 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $81.70 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $78.57 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $78.57 – $465.00 |