Consultation/report referred material w/preparation of slides at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$62.92
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.
$355.00
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.
$49.06 with HORIZON vs $486.31 with AETNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $49.06 | ↓ -22% |
| OPTUM HEALTH | MANAGED MEDICAID | $50.34 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $62.66 | ↓ -0% |
| VACCN | ALL PRODUCTS | $62.92 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $62.92 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $66.07 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $89.11 | ↑ +42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $101.53 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $177.50 | ↑ +182% |
| UNITED HEALTHCARE | HMO | $200.58 | ↑ +219% |
| KARNA | MEDICARE ADVANTAGE | $215.42 | ↑ +242% |
| HORIZON | OMNIA | $232.49 | ↑ +270% |
| HORIZON | WORKERS COMP | $244.45 | ↑ +289% |
| INTERGROUP | ALL PRODUCTS | $248.50 | ↑ +295% |
| BERGEN RISK | ALL PRODUCTS | $266.25 | ↑ +323% |
| HORIZON | PIP | $266.25 | ↑ +323% |
| LHP HEALTH | ALL PRODUCTS | $280.45 | ↑ +346% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $280.45 | ↑ +346% |
| CIGNA | BH | $284.00 | ↑ +351% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $301.75 | ↑ +380% |
| CHN | ALL PRODUCTS | $301.75 | ↑ +380% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $301.75 | ↑ +380% |
| QUALCARE | WORKERS COMP | $313.11 | ↑ +398% |
| QUALCARE | HMO | $313.11 | ↑ +398% |
| QUALCARE | PPO | $313.11 | ↑ +398% |
| HORIZON | HMO | $338.10 | ↑ +437% |
| HORIZON | INDEMNITY | $339.84 | ↑ +440% |
| HORIZON | SHP | $342.01 | ↑ +444% |
| CIGNA | HMO | $343.46 | ↑ +446% |
| CIGNA | PPO | $343.46 | ↑ +446% |
| HORIZON | FEDERAL | $346.20 | ↑ +450% |
| HORIZON | PPO | $346.20 | ↑ +450% |
| AMERIHEALTH | LOCAL HMO | $355.00 | ↑ +464% |
| AMERIHEALTH | REGIONAL HMO | $355.00 | ↑ +464% |
| AETNA | HMO | $486.31 | ↑ +673% |
| AETNA | ASA | $486.31 | ↑ +673% |
| AETNA | PPO | $486.31 | ↑ +673% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Ocean University Medical Center | Brick | $58.39 | $36.30 – $207.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $36.30 – $215.42 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $207.34 |
| Palisades Medical Center | North Bergen | $62.92 | $54.12 – $215.42 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $215.42 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $207.34 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $207.34 |