Cystouretero w/lithotripsy at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$5,986.78
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.
$9,127.00
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.
$811.57 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 | $811.57 | ↓ -86% |
| CLOVER | MEDICARE ADVANTAGE | $1,642.86 | ↓ -73% |
| OPTUM HEALTH | MANAGED MEDICAID | $2,007.94 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $2,290.88 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,610.32 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $2,701.59 | ↓ -55% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -54% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -41% |
| HORIZON | OMNIA | $5,977.27 | ↓ -0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,986.78 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $5,986.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,986.78 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,986.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,986.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,986.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,286.11 | ↑ +5% |
| INTERGROUP | ALL PRODUCTS | $6,388.90 | ↑ +7% |
| BERGEN RISK | ALL PRODUCTS | $6,845.25 | ↑ +14% |
| HORIZON | PIP | $6,845.25 | ↑ +14% |
| CHN | ALL PRODUCTS | $7,057.81 | ↑ +18% |
| CIGNA | BH | $7,301.60 | ↑ +22% |
| QUALCARE | HMO | $7,712.00 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,757.95 | ↑ +30% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,757.95 | ↑ +30% |
| AETNA | PPO | $7,773.00 | ↑ +30% |
| AETNA | HMO | $7,773.00 | ↑ +30% |
| AETNA | ASA | $7,773.00 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +34% |
| QUALCARE | PPO | $8,123.03 | ↑ +36% |
| QUALCARE | WORKERS COMP | $8,123.03 | ↑ +36% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,214.30 | ↑ +37% |
| CIGNA | HMO | $8,300.09 | ↑ +39% |
| CIGNA | PPO | $8,300.09 | ↑ +39% |
| HORIZON | HMO | $8,692.55 | ↑ +45% |
| HORIZON | INDEMNITY | $8,737.28 | ↑ +46% |
| HORIZON | SHP | $8,792.95 | ↑ +47% |
| HORIZON | PPO | $8,900.65 | ↑ +49% |
| HORIZON | FEDERAL | $8,900.65 | ↑ +49% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +49% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +181% |
| OXFORD | ALL PRODUCTS | $18,362.00 | ↑ +207% |
| UNITED HEALTHCARE | HMO | $22,263.00 | ↑ +272% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $15,984.00 |
| Ocean University Medical Center | Brick | $5,555.79 | $789.85 – $8,322.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $504.00 – $8,322.52 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $789.85 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $496.44 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $630.00 – $15,984.00 |
| Riverview Medical Center | Red Bank | $5,626.86 | $789.85 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $789.85 – $15,984.00 |