Complex simulation w/pet-ct at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$2,297.03
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.
$6,510.00
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.
$1,171.80 with CLOVER vs $6,348.55 with HORIZON — 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 | $1,171.80 | ↓ -49% |
| AETNA | MANAGED MEDICAID | $1,634.01 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $1,837.62 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,861.86 | ↓ -19% |
| AETNA | MEDICARE ADVANTAGE | $1,926.96 | ↓ -16% |
| HORIZON | MEDICARE ADVANTAGE | $2,297.03 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,297.03 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,297.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,297.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,297.03 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,297.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,411.88 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $3,015.00 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $3,195.76 | ↑ +39% |
| UNITED HEALTHCARE | HMO | $3,250.00 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $3,551.21 | ↑ +55% |
| HORIZON | OMNIA | $4,263.40 | ↑ +86% |
| HORIZON | WORKERS COMP | $4,482.79 | ↑ +95% |
| INTERGROUP | ALL PRODUCTS | $4,557.00 | ↑ +98% |
| AETNA | HMO | $4,863.62 | ↑ +112% |
| AETNA | PPO | $4,863.62 | ↑ +112% |
| AETNA | ASA | $4,863.62 | ↑ +112% |
| BERGEN RISK | ALL PRODUCTS | $4,882.50 | ↑ +113% |
| HORIZON | PIP | $4,882.50 | ↑ +113% |
| LHP HEALTH | ALL PRODUCTS | $5,142.90 | ↑ +124% |
| CIGNA | BH | $5,208.00 | ↑ +127% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,533.50 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,533.50 | ↑ +141% |
| CHN | ALL PRODUCTS | $5,533.50 | ↑ +141% |
| QUALCARE | HMO | $5,741.82 | ↑ +150% |
| QUALCARE | PPO | $5,741.82 | ↑ +150% |
| QUALCARE | WORKERS COMP | $5,741.82 | ↑ +150% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,859.00 | ↑ +155% |
| HORIZON | HMO | $6,200.12 | ↑ +170% |
| HORIZON | INDEMNITY | $6,232.02 | ↑ +171% |
| HORIZON | SHP | $6,271.73 | ↑ +173% |
| CIGNA | HMO | $6,298.43 | ↑ +174% |
| CIGNA | PPO | $6,298.43 | ↑ +174% |
| HORIZON | PPO | $6,348.55 | ↑ +176% |
| HORIZON | FEDERAL | $6,348.55 | ↑ +176% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,158.93 | $2,158.93 – $2,774.00 |
| Ocean University Medical Center | Brick | $2,131.66 | $293.00 – $2,630.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,160.80 | $293.00 – $2,997.00 |
| Jersey Shore University Medical Center | Neptune City | $2,158.93 | $2,158.93 – $2,789.00 |
| Palisades Medical Center | North Bergen | $2,297.03 | $2,297.03 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $2,160.80 | $2,160.80 – $2,746.00 |
| Riverview Medical Center | Red Bank | $2,158.93 | $2,158.93 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $2,131.66 | $2,131.66 – $2,703.00 |