Chromogenic substrate assay at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$11.89
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.
$292.00
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.
$9.51 with OPTUM HEALTH vs $292.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $9.51 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $10.02 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $11.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.89 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.48 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $14.86 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $15.81 | ↑ +33% |
| CIGNA | HMO | $53.39 | ↑ +349% |
| CIGNA | PPO | $53.39 | ↑ +349% |
| AETNA | MANAGED MEDICAID | $73.29 | ↑ +516% |
| OXFORD | ALL PRODUCTS | $146.00 | ↑ +1128% |
| AETNA | PPO | $162.94 | ↑ +1270% |
| AETNA | HMO | $162.94 | ↑ +1270% |
| AETNA | ASA | $162.94 | ↑ +1270% |
| UNITED HEALTHCARE | HMO | $164.98 | ↑ +1288% |
| HORIZON | OMNIA | $191.23 | ↑ +1508% |
| HORIZON | WORKERS COMP | $201.07 | ↑ +1591% |
| INTERGROUP | ALL PRODUCTS | $204.40 | ↑ +1619% |
| HORIZON | PIP | $219.00 | ↑ +1742% |
| BERGEN RISK | ALL PRODUCTS | $219.00 | ↑ +1742% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $230.68 | ↑ +1840% |
| CIGNA | BH | $233.60 | ↑ +1865% |
| CHN | ALL PRODUCTS | $248.20 | ↑ +1987% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $248.20 | ↑ +1987% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $248.20 | ↑ +1987% |
| QUALCARE | HMO | $257.54 | ↑ +2066% |
| QUALCARE | PPO | $257.54 | ↑ +2066% |
| QUALCARE | WORKERS COMP | $257.54 | ↑ +2066% |
| HORIZON | HMO | $278.10 | ↑ +2239% |
| HORIZON | INDEMNITY | $279.53 | ↑ +2251% |
| HORIZON | SHP | $281.31 | ↑ +2266% |
| HORIZON | FEDERAL | $284.76 | ↑ +2295% |
| HORIZON | PPO | $284.76 | ↑ +2295% |
| AMERIHEALTH | REGIONAL HMO | $292.00 | ↑ +2356% |
| AMERIHEALTH | LOCAL HMO | $292.00 | ↑ +2356% |
Visitor-reported prices
Comments
Chromogenic substrate assay at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11.89 | $11.89 – $54.48 |
| Ocean University Medical Center | Brick | $11.89 | $11.89 – $54.48 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11.89 | $11.89 – $55.96 |
| Jersey Shore University Medical Center | Neptune City | $11.89 | $9.51 – $54.48 |
| Palisades Medical Center | North Bergen | $11.89 | $11.05 – $54.48 |
| Raritan Bay Medical Center | Perth Amboy | $11.89 | $11.89 – $54.48 |
| Riverview Medical Center | Red Bank | $11.89 | $7.75 – $54.48 |
| Southern Ocean Medical Center | Manahawkin | $11.89 | $11.89 – $54.48 |