healthcosts.net
Colonoscopy (diagnostic) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,073.68
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.
$4,235.00
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.
$385.38 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $385.38 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $762.30 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $858.95 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $1,056.92 | ↓ -2% |
| AETNA | MANAGED MEDICAID | $1,062.99 | ↓ -1% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,073.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,073.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,127.37 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,211.21 | ↑ +13% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +154% |
| HORIZON | OMNIA | $2,773.50 | ↑ +158% |
| INTERGROUP | ALL PRODUCTS | $2,964.50 | ↑ +176% |
| HORIZON | PIP | $3,176.25 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $3,176.25 | ↑ +196% |
| CIGNA | BH | $3,388.00 | ↑ +216% |
| LHP HEALTH | ALL PRODUCTS | $3,472.70 | ↑ +223% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,599.75 | ↑ +235% |
| CHN | ALL PRODUCTS | $3,599.75 | ↑ +235% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,599.75 | ↑ +235% |
| QUALCARE | HMO | $3,735.27 | ↑ +248% |
| QUALCARE | WORKERS COMP | $3,769.15 | ↑ +251% |
| QUALCARE | PPO | $3,769.15 | ↑ +251% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,811.50 | ↑ +255% |
| CIGNA | PPO | $3,851.31 | ↑ +259% |
| CIGNA | HMO | $3,851.31 | ↑ +259% |
| HORIZON | HMO | $4,033.41 | ↑ +276% |
| HORIZON | INDEMNITY | $4,054.17 | ↑ +278% |
| HORIZON | SHP | $4,080.00 | ↑ +280% |
| HORIZON | FEDERAL | $4,129.97 | ↑ +285% |
| HORIZON | PPO | $4,129.97 | ↑ +285% |
| OXFORD | ALL PRODUCTS | $7,146.00 | ↑ +566% |
| AETNA | PPO | $7,773.00 | ↑ +624% |
| AETNA | ASA | $7,773.00 | ↑ +624% |
| AETNA | HMO | $7,773.00 | ↑ +624% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +646% |
| UNITED HEALTHCARE | HMO | $8,568.00 | ↑ +698% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +729% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1465% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy (diagnostic) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $996.39 | $374.22 – $3,832.25 |
| Bayshore Medical Center | Holmdel | $1,009.14 | $694.54 – $3,638.71 |