Electrophysiology evaluation at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$8,936.20
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.
$12,475.00
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.
$2,030.00 with UNITED HEALTHCARE vs $21,229.00 with AETNA — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | HMO | $2,030.00 | ↓ -77% |
| OXFORD | ALL PRODUCTS | $2,033.00 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $2,245.50 | ↓ -75% |
| KARNA | MEDICARE ADVANTAGE | $2,455.88 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $3,131.23 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,567.85 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $6,175.13 | ↓ -31% |
| OPTUM HEALTH | MANAGED MEDICAID | $7,148.96 | ↓ -20% |
| HORIZON | OMNIA | $8,169.88 | ↓ -9% |
| HORIZON | WORKERS COMP | $8,590.29 | ↓ -4% |
| AETNA | MEDICARE ADVANTAGE | $8,636.37 | ↓ -3% |
| INTERGROUP | ALL PRODUCTS | $8,732.50 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $8,936.20 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $8,936.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,936.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $8,936.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,936.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,936.20 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $9,356.25 | ↑ +5% |
| HORIZON | PIP | $9,356.25 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,383.01 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $9,855.25 | ↑ +10% |
| CIGNA | BH | $9,980.00 | ↑ +12% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,603.75 | ↑ +19% |
| CHN | ALL PRODUCTS | $10,603.75 | ↑ +19% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,603.75 | ↑ +19% |
| QUALCARE | PPO | $11,002.95 | ↑ +23% |
| QUALCARE | HMO | $11,002.95 | ↑ +23% |
| QUALCARE | WORKERS COMP | $11,002.95 | ↑ +23% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,227.50 | ↑ +26% |
| HORIZON | HMO | $11,881.19 | ↑ +33% |
| HORIZON | INDEMNITY | $11,942.32 | ↑ +34% |
| HORIZON | SHP | $12,018.42 | ↑ +34% |
| CIGNA | PPO | $12,069.56 | ↑ +35% |
| CIGNA | HMO | $12,069.56 | ↑ +35% |
| HORIZON | FEDERAL | $12,165.62 | ↑ +36% |
| HORIZON | PPO | $12,165.62 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $12,475.00 | ↑ +40% |
| AMERIHEALTH | REGIONAL HMO | $12,475.00 | ↑ +40% |
| AETNA | HMO | $21,229.00 | ↑ +138% |
| AETNA | PPO | $21,229.00 | ↑ +138% |
| AETNA | ASA | $21,229.00 | ↑ +138% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Ocean University Medical Center | Brick | $8,292.88 | $104.00 – $9,951.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8,406.25 | $104.00 – $8,406.25 |
| Jersey Shore University Medical Center | Neptune City | $8,398.96 | $2,405.11 – $10,078.76 |
| Palisades Medical Center | North Bergen | $8,936.20 | $58.00 – $9,740.46 |
| Raritan Bay Medical Center | Perth Amboy | $8,406.25 | $2,455.88 – $10,087.50 |
| Riverview Medical Center | Red Bank | $8,398.96 | $2,405.11 – $10,078.76 |
| Southern Ocean Medical Center | Manahawkin | $8,292.88 | $2,405.11 – $9,951.46 |