Diab manage trn ind/group at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$19.66
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.
$165.00
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.
$15.73 with OPTUM HEALTH vs $1,496.00 with OXFORD — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $15.73 | ↓ -20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $19.66 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.66 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.64 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $28.44 | ↑ +45% |
| CLOVER | MEDICARE ADVANTAGE | $29.70 | ↑ +51% |
| AETNA | MANAGED MEDICAID | $41.42 | ↑ +111% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $47.19 | ↑ +140% |
| HORIZON | MANAGED MEDICAID | $81.68 | ↑ +315% |
| HORIZON | OMNIA | $108.06 | ↑ +450% |
| HORIZON | WORKERS COMP | $113.62 | ↑ +478% |
| INTERGROUP | ALL PRODUCTS | $115.50 | ↑ +487% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +529% |
| HORIZON | PIP | $123.75 | ↑ +529% |
| LHP HEALTH | ALL PRODUCTS | $130.35 | ↑ +563% |
| CIGNA | BH | $132.00 | ↑ +571% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $140.25 | ↑ +613% |
| CHN | ALL PRODUCTS | $140.25 | ↑ +613% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +613% |
| QUALCARE | HMO | $145.53 | ↑ +640% |
| QUALCARE | PPO | $145.53 | ↑ +640% |
| QUALCARE | WORKERS COMP | $145.53 | ↑ +640% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $148.50 | ↑ +655% |
| AETNA | ASA | $157.08 | ↑ +699% |
| AETNA | HMO | $157.08 | ↑ +699% |
| AETNA | PPO | $157.08 | ↑ +699% |
| HORIZON | HMO | $157.15 | ↑ +699% |
| HORIZON | INDEMNITY | $157.95 | ↑ +703% |
| HORIZON | SHP | $158.96 | ↑ +709% |
| CIGNA | HMO | $159.64 | ↑ +712% |
| CIGNA | PPO | $159.64 | ↑ +712% |
| HORIZON | PPO | $160.91 | ↑ +718% |
| HORIZON | FEDERAL | $160.91 | ↑ +718% |
| AMERIHEALTH | LOCAL HMO | $450.00 | ↑ +2189% |
| AMERIHEALTH | REGIONAL HMO | $534.00 | ↑ +2616% |
| UNITED HEALTHCARE | HMO | $1,035.00 | ↑ +5164% |
| OXFORD | ALL PRODUCTS | $1,496.00 | ↑ +7509% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $42.38 | $63.08 – $197.00 |
| Community Medical Center | Toms River | $49.36 | $64.60 – $197.00 |
| Clara Maass Medical Center | Belleville | $22.87 | $62.32 – $197.00 |
| Newark Beth Israel Medical Center | Newark | $41.66 | $11.52 – $114.38 |
| Monmouth Medical Center | Long Branch | $52.07 | $124.64 – $197.00 |
| Bayshore Medical Center | Holmdel | $19.66 | $19.66 – $465.00 |
| Ocean University Medical Center | Brick | $19.66 | $19.66 – $465.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.66 | $19.66 – $792.00 |