Cochlear implt f/up exam <7 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$184.26
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.
$641.00
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.
$115.38 with CLOVER vs $641.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $115.38 | ↓ -37% |
| OPTUM HEALTH | MANAGED MEDICAID | $147.41 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $160.89 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $180.64 | ↓ -2% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $183.33 | ↓ -1% |
| VACCN | ALL PRODUCTS | $184.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $184.26 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $193.47 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $206.64 | ↑ +12% |
| HORIZON | MANAGED MEDICAID | $317.30 | ↑ +72% |
| HORIZON | OMNIA | $419.79 | ↑ +128% |
| HORIZON | WORKERS COMP | $441.39 | ↑ +140% |
| INTERGROUP | ALL PRODUCTS | $448.70 | ↑ +144% |
| HORIZON | PIP | $480.75 | ↑ +161% |
| BERGEN RISK | ALL PRODUCTS | $480.75 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $485.00 | ↑ +163% |
| UNITED HEALTHCARE | HMO | $487.00 | ↑ +164% |
| LHP HEALTH | ALL PRODUCTS | $506.39 | ↑ +175% |
| CIGNA | BH | $512.80 | ↑ +178% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $544.85 | ↑ +196% |
| CHN | ALL PRODUCTS | $544.85 | ↑ +196% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $544.85 | ↑ +196% |
| QUALCARE | WORKERS COMP | $565.36 | ↑ +207% |
| QUALCARE | HMO | $565.36 | ↑ +207% |
| QUALCARE | PPO | $565.36 | ↑ +207% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $576.90 | ↑ +213% |
| AETNA | ASA | $610.23 | ↑ +231% |
| AETNA | PPO | $610.23 | ↑ +231% |
| AETNA | HMO | $610.23 | ↑ +231% |
| HORIZON | HMO | $610.49 | ↑ +231% |
| HORIZON | INDEMNITY | $613.63 | ↑ +233% |
| HORIZON | SHP | $617.54 | ↑ +235% |
| CIGNA | PPO | $620.17 | ↑ +237% |
| CIGNA | HMO | $620.17 | ↑ +237% |
| HORIZON | PPO | $625.10 | ↑ +239% |
| HORIZON | FEDERAL | $625.10 | ↑ +239% |
| AMERIHEALTH | REGIONAL HMO | $641.00 | ↑ +248% |
| AMERIHEALTH | LOCAL HMO | $641.00 | ↑ +248% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cochlear implt f/up exam <7 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Ocean University Medical Center | Brick | $170.99 | $74.00 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $74.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $184.26 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $792.50 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $465.00 |