Ductogram sgl duct at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$284.66
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.
$650.00
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.
$16.35 with HORIZON vs $711.68 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $16.35 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $104.05 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $117.00 | ↓ -59% |
| CIGNA | PPO | $134.13 | ↓ -53% |
| CIGNA | HMO | $134.13 | ↓ -53% |
| AETNA | PPO | $139.86 | ↓ -51% |
| AETNA | HMO | $139.86 | ↓ -51% |
| AETNA | ASA | $139.86 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $163.15 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $185.90 | ↓ -35% |
| OPTUM HEALTH | MANAGED MEDICAID | $227.73 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $283.37 | ↓ -0% |
| VACCN | ALL PRODUCTS | $284.66 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $284.66 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $298.90 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $325.00 | ↑ +14% |
| HORIZON | OMNIA | $425.69 | ↑ +50% |
| HORIZON | WORKERS COMP | $447.59 | ↑ +57% |
| INTERGROUP | ALL PRODUCTS | $455.00 | ↑ +60% |
| BERGEN RISK | ALL PRODUCTS | $487.50 | ↑ +71% |
| HORIZON | PIP | $487.50 | ↑ +71% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $513.50 | ↑ +80% |
| LHP HEALTH | ALL PRODUCTS | $513.50 | ↑ +80% |
| CIGNA | BH | $520.00 | ↑ +83% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $552.50 | ↑ +94% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $552.50 | ↑ +94% |
| CHN | ALL PRODUCTS | $552.50 | ↑ +94% |
| QUALCARE | HMO | $573.30 | ↑ +101% |
| QUALCARE | PPO | $573.30 | ↑ +101% |
| QUALCARE | WORKERS COMP | $573.30 | ↑ +101% |
| HORIZON | HMO | $619.06 | ↑ +117% |
| HORIZON | INDEMNITY | $622.25 | ↑ +119% |
| HORIZON | SHP | $626.21 | ↑ +120% |
| HORIZON | FEDERAL | $633.88 | ↑ +123% |
| HORIZON | PPO | $633.88 | ↑ +123% |
| AMERIHEALTH | REGIONAL HMO | $650.00 | ↑ +128% |
| AMERIHEALTH | LOCAL HMO | $650.00 | ↑ +128% |
| UNITED HEALTHCARE | HMO | $711.68 | ↑ +150% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $113.62 – $623.08 |
| Ocean University Medical Center | Brick | $264.17 | $99.12 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $104.05 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $99.12 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $18.04 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $24.75 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $15.40 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $99.12 – $277.38 |