Chronic urticaria - sendout at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$12.46
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.
$246.00
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.
$9.81 with HORIZON vs $170.73 with AETNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $9.81 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $9.97 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $12.46 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.46 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.46 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.08 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $15.58 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $16.57 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $18.07 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $36.00 | ↑ +189% |
| UNITED HEALTHCARE | HMO | $40.68 | ↑ +226% |
| HORIZON | OMNIA | $47.15 | ↑ +278% |
| HORIZON | WORKERS COMP | $49.58 | ↑ +298% |
| INTERGROUP | ALL PRODUCTS | $50.40 | ↑ +304% |
| HORIZON | PIP | $54.00 | ↑ +333% |
| BERGEN RISK | ALL PRODUCTS | $54.00 | ↑ +333% |
| CIGNA | HMO | $55.95 | ↑ +349% |
| CIGNA | PPO | $55.95 | ↑ +349% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $56.88 | ↑ +357% |
| CIGNA | BH | $57.60 | ↑ +362% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $61.20 | ↑ +391% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $61.20 | ↑ +391% |
| CHN | ALL PRODUCTS | $61.20 | ↑ +391% |
| QUALCARE | PPO | $63.50 | ↑ +410% |
| QUALCARE | WORKERS COMP | $63.50 | ↑ +410% |
| QUALCARE | HMO | $63.50 | ↑ +410% |
| HORIZON | HMO | $68.57 | ↑ +450% |
| HORIZON | INDEMNITY | $68.93 | ↑ +453% |
| HORIZON | SHP | $69.36 | ↑ +457% |
| HORIZON | FEDERAL | $70.21 | ↑ +463% |
| HORIZON | PPO | $70.21 | ↑ +463% |
| AMERIHEALTH | LOCAL HMO | $72.00 | ↑ +478% |
| AMERIHEALTH | REGIONAL HMO | $72.00 | ↑ +478% |
| AETNA | PPO | $170.73 | ↑ +1270% |
| AETNA | HMO | $170.73 | ↑ +1270% |
| AETNA | ASA | $170.73 | ↑ +1270% |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12.46 | $12.46 – $57.10 |
| Ocean University Medical Center | Brick | $12.46 | $6.60 – $57.10 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12.46 | $6.60 – $58.64 |
| Jersey Shore University Medical Center | Neptune City | $12.46 | $9.97 – $57.10 |
| Palisades Medical Center | North Bergen | $12.46 | $10.82 – $57.10 |
| Raritan Bay Medical Center | Perth Amboy | $12.46 | $12.46 – $57.10 |
| Riverview Medical Center | Red Bank | $12.46 | $7.59 – $57.10 |
| Southern Ocean Medical Center | Manahawkin | $12.46 | $12.46 – $57.10 |