Coronary angio/cath placement bypass graft/lv gram/lt heart at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$3,787.84
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.
$18,030.00
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.
$1,965.76 with KARNA vs $22,263.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,965.76 | ↓ -48% |
| OPTUM HEALTH | MANAGED MEDICAID | $3,030.27 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $3,245.40 | ↓ -14% |
| AETNA | MEDICARE ADVANTAGE | $3,768.27 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,787.84 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3,787.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,787.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,787.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,787.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,787.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,977.23 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $4,525.53 | ↑ +19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,156.58 | ↑ +36% |
| LHP HEALTH | ALL PRODUCTS | $6,044.00 | ↑ +60% |
| HORIZON | MANAGED MEDICAID | $6,135.00 | ↑ +62% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +135% |
| HORIZON | OMNIA | $11,807.85 | ↑ +212% |
| INTERGROUP | ALL PRODUCTS | $12,621.00 | ↑ +233% |
| QUALCARE | PPO | $13,492.00 | ↑ +256% |
| QUALCARE | HMO | $13,492.00 | ↑ +256% |
| QUALCARE | WORKERS COMP | $13,492.00 | ↑ +256% |
| BERGEN RISK | ALL PRODUCTS | $13,522.50 | ↑ +257% |
| HORIZON | PIP | $13,522.50 | ↑ +257% |
| CIGNA | BH | $14,424.00 | ↑ +281% |
| CIGNA | HMO | $15,091.00 | ↑ +298% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $15,325.50 | ↑ +305% |
| CHN | ALL PRODUCTS | $15,325.50 | ↑ +305% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $15,325.50 | ↑ +305% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,374.00 | ↑ +306% |
| HORIZON | SHP | $15,733.00 | ↑ +315% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +344% |
| HORIZON | HMO | $17,171.77 | ↑ +353% |
| HORIZON | INDEMNITY | $17,260.12 | ↑ +356% |
| HORIZON | PPO | $17,582.86 | ↑ +364% |
| HORIZON | FEDERAL | $17,582.86 | ↑ +364% |
| OXFORD | ALL PRODUCTS | $18,362.00 | ↑ +385% |
| CIGNA | PPO | $20,078.00 | ↑ +430% |
| AETNA | ASA | $20,769.00 | ↑ +448% |
| AETNA | PPO | $20,769.00 | ↑ +448% |
| AETNA | HMO | $20,769.00 | ↑ +448% |
| UNITED HEALTHCARE | HMO | $22,263.00 | ↑ +488% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |
| Ocean University Medical Center | Brick | $3,515.15 | $1,873.81 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,563.20 | $1,965.76 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $3,560.12 | $1,873.81 – $4,272.14 |
| Palisades Medical Center | North Bergen | $3,787.84 | $1,267.89 – $4,128.74 |
| Raritan Bay Medical Center | Perth Amboy | $3,563.20 | $1,965.76 – $9,707.20 |
| Riverview Medical Center | Red Bank | $3,560.12 | $1,873.81 – $4,272.14 |
| Southern Ocean Medical Center | Manahawkin | $3,515.15 | $1,873.81 – $4,218.18 |