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Diagnostic Mammogram (one breast) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$164.52
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.
$843.00
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.
$95.83 with HORIZON vs $822.09 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 | $95.83 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $123.63 | ↓ -25% |
| AMERIHEALTH | REGIONAL HMO | $123.63 | ↓ -25% |
| OPTUM HEALTH | MANAGED MEDICAID | $131.62 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $151.74 | ↓ -8% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $164.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $164.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $164.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $172.75 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $211.59 | ↑ +29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $241.10 | ↑ +47% |
| KARNA | MEDICARE ADVANTAGE | $241.81 | ↑ +47% |
| UNITED HEALTHCARE | HMO | $282.72 | ↑ +72% |
| OXFORD | ALL PRODUCTS | $282.72 | ↑ +72% |
| CIGNA | PPO | $316.87 | ↑ +93% |
| CIGNA | HMO | $316.87 | ↑ +93% |
| AETNA | PPO | $325.33 | ↑ +98% |
| AETNA | ASA | $325.33 | ↑ +98% |
| AETNA | HMO | $325.33 | ↑ +98% |
| HORIZON | OMNIA | $552.08 | ↑ +236% |
| HORIZON | WORKERS COMP | $580.49 | ↑ +253% |
| INTERGROUP | ALL PRODUCTS | $590.10 | ↑ +259% |
| HORIZON | PIP | $632.25 | ↑ +284% |
| BERGEN RISK | ALL PRODUCTS | $632.25 | ↑ +284% |
| LHP HEALTH | ALL PRODUCTS | $665.97 | ↑ +305% |
| CIGNA | BH | $674.40 | ↑ +310% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $716.55 | ↑ +336% |
| CHN | ALL PRODUCTS | $716.55 | ↑ +336% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $716.55 | ↑ +336% |
| QUALCARE | HMO | $743.53 | ↑ +352% |
| QUALCARE | WORKERS COMP | $743.53 | ↑ +352% |
| QUALCARE | PPO | $743.53 | ↑ +352% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $758.70 | ↑ +361% |
| HORIZON | HMO | $802.87 | ↑ +388% |
| HORIZON | INDEMNITY | $807.00 | ↑ +391% |
| HORIZON | SHP | $812.15 | ↑ +394% |
| HORIZON | FEDERAL | $822.09 | ↑ +400% |
| HORIZON | PPO | $822.09 | ↑ +400% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $164.52 | $123.32 – $663.30 |
| Ocean University Medical Center | Brick | $164.52 | $104.65 – $674.40 |