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Diagnostic Mammogram (both breasts) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$207.95
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.
$1,100.00
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.
$121.57 with HORIZON vs $1,072.72 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $121.57 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $157.53 | ↓ -24% |
| AMERIHEALTH | REGIONAL HMO | $157.53 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $166.36 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $198.00 | ↓ -5% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $207.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $207.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $207.95 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $218.35 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $276.10 | ↑ +33% |
| KARNA | MEDICARE ADVANTAGE | $306.22 | ↑ +47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $314.60 | ↑ +51% |
| UNITED HEALTHCARE | HMO | $361.48 | ↑ +74% |
| OXFORD | ALL PRODUCTS | $361.48 | ↑ +74% |
| CIGNA | PPO | $405.20 | ↑ +95% |
| CIGNA | HMO | $405.20 | ↑ +95% |
| AETNA | PPO | $416.21 | ↑ +100% |
| AETNA | ASA | $416.21 | ↑ +100% |
| AETNA | HMO | $416.21 | ↑ +100% |
| HORIZON | OMNIA | $720.39 | ↑ +246% |
| HORIZON | WORKERS COMP | $757.46 | ↑ +264% |
| INTERGROUP | ALL PRODUCTS | $770.00 | ↑ +270% |
| HORIZON | PIP | $825.00 | ↑ +297% |
| BERGEN RISK | ALL PRODUCTS | $825.00 | ↑ +297% |
| LHP HEALTH | ALL PRODUCTS | $869.00 | ↑ +318% |
| CIGNA | BH | $880.00 | ↑ +323% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $935.00 | ↑ +350% |
| CHN | ALL PRODUCTS | $935.00 | ↑ +350% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $935.00 | ↑ +350% |
| QUALCARE | HMO | $970.20 | ↑ +367% |
| QUALCARE | WORKERS COMP | $970.20 | ↑ +367% |
| QUALCARE | PPO | $970.20 | ↑ +367% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $990.00 | ↑ +376% |
| HORIZON | HMO | $1,047.64 | ↑ +404% |
| HORIZON | INDEMNITY | $1,053.03 | ↑ +406% |
| HORIZON | SHP | $1,059.74 | ↑ +410% |
| HORIZON | FEDERAL | $1,072.72 | ↑ +416% |
| HORIZON | PPO | $1,072.72 | ↑ +416% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $207.95 | $157.14 – $940.50 |
| Ocean University Medical Center | Brick | $207.95 | $148.39 – $940.50 |