Duplex scan unilateral study 93986 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$125.23
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.
$1,210.00
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.
$100.19 with OPTUM HEALTH vs $4,324.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $127.14 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $217.80 | ↑ +74% |
| KARNA | MEDICARE ADVANTAGE | $261.99 | ↑ +109% |
| AETNA | MANAGED MEDICAID | $303.71 | ↑ +143% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $346.06 | ↑ +176% |
| HORIZON | MANAGED MEDICAID | $598.95 | ↑ +378% |
| HORIZON | OMNIA | $792.43 | ↑ +533% |
| HORIZON | WORKERS COMP | $833.21 | ↑ +565% |
| INTERGROUP | ALL PRODUCTS | $847.00 | ↑ +576% |
| BERGEN RISK | ALL PRODUCTS | $907.50 | ↑ +625% |
| HORIZON | PIP | $907.50 | ↑ +625% |
| LHP HEALTH | ALL PRODUCTS | $955.90 | ↑ +663% |
| CIGNA | BH | $968.00 | ↑ +673% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,028.50 | ↑ +721% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,028.50 | ↑ +721% |
| CHN | ALL PRODUCTS | $1,028.50 | ↑ +721% |
| QUALCARE | WORKERS COMP | $1,067.22 | ↑ +752% |
| QUALCARE | HMO | $1,067.22 | ↑ +752% |
| QUALCARE | PPO | $1,067.22 | ↑ +752% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,089.00 | ↑ +770% |
| HORIZON | HMO | $1,152.40 | ↑ +820% |
| HORIZON | INDEMNITY | $1,158.33 | ↑ +825% |
| HORIZON | SHP | $1,165.71 | ↑ +831% |
| CIGNA | PPO | $1,170.68 | ↑ +835% |
| CIGNA | HMO | $1,170.68 | ↑ +835% |
| HORIZON | FEDERAL | $1,179.99 | ↑ +842% |
| HORIZON | PPO | $1,179.99 | ↑ +842% |
| AMERIHEALTH | LOCAL HMO | $1,210.00 | ↑ +866% |
| AMERIHEALTH | REGIONAL HMO | $1,210.00 | ↑ +866% |
| AETNA | HMO | $1,332.57 | ↑ +964% |
| AETNA | PPO | $1,332.57 | ↑ +964% |
| AETNA | ASA | $1,332.57 | ↑ +964% |
| OXFORD | ALL PRODUCTS | $4,135.00 | ↑ +3202% |
| UNITED HEALTHCARE | HMO | $4,324.00 | ↑ +3353% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $1,271.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $2,744.00 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,190.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $1,114.00 |