Clearance of tear duct at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$352.04
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.
$4,198.00
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.
$281.63 with OPTUM HEALTH 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $281.63 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $336.88 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $352.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $352.04 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $369.64 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $540.59 | ↑ +54% |
| CLOVER | MEDICARE ADVANTAGE | $755.64 | ↑ +115% |
| AETNA | MANAGED MEDICAID | $1,053.70 | ↑ +199% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,200.63 | ↑ +241% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +675% |
| HORIZON | OMNIA | $2,749.27 | ↑ +681% |
| INTERGROUP | ALL PRODUCTS | $2,938.60 | ↑ +735% |
| HORIZON | PIP | $3,148.50 | ↑ +794% |
| BERGEN RISK | ALL PRODUCTS | $3,148.50 | ↑ +794% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +810% |
| CIGNA | BH | $3,358.40 | ↑ +854% |
| LHP HEALTH | ALL PRODUCTS | $3,442.36 | ↑ +878% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,568.30 | ↑ +914% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,568.30 | ↑ +914% |
| CHN | ALL PRODUCTS | $3,568.30 | ↑ +914% |
| QUALCARE | PPO | $3,736.22 | ↑ +961% |
| QUALCARE | WORKERS COMP | $3,736.22 | ↑ +961% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +967% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,778.20 | ↑ +973% |
| CIGNA | PPO | $3,817.66 | ↑ +984% |
| CIGNA | HMO | $3,817.66 | ↑ +984% |
| HORIZON | HMO | $3,998.18 | ↑ +1036% |
| HORIZON | INDEMNITY | $4,018.75 | ↑ +1042% |
| HORIZON | SHP | $4,044.35 | ↑ +1049% |
| HORIZON | FEDERAL | $4,093.89 | ↑ +1063% |
| HORIZON | PPO | $4,093.89 | ↑ +1063% |
| QUALCARE | HMO | $7,712.00 | ↑ +2091% |
| AETNA | ASA | $7,773.00 | ↑ +2108% |
| AETNA | PPO | $7,773.00 | ↑ +2108% |
| AETNA | HMO | $7,773.00 | ↑ +2108% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +2176% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +2429% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +4673% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $521.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $145.20 – $540.59 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $330.87 – $521.03 |
| Palisades Medical Center | North Bergen | $352.04 | $352.04 – $540.59 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $331.16 – $540.59 |
| Riverview Medical Center | Red Bank | $330.87 | $330.87 – $521.03 |
| Southern Ocean Medical Center | Manahawkin | $326.69 | $326.69 – $521.03 |