Fetal hemoglobin rosette at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$9.36
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.
$112.00
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.
$5.59 with HORIZON vs $112.00 with AMERIHEALTH — 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 | $5.59 | ↓ -40% |
| OPTUM HEALTH | MANAGED MEDICAID | $7.49 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $9.36 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.36 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.36 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.36 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9.83 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $11.70 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $12.45 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $28.11 | ↑ +200% |
| CIGNA | PPO | $42.03 | ↑ +349% |
| CIGNA | HMO | $42.03 | ↑ +349% |
| OXFORD | ALL PRODUCTS | $56.00 | ↑ +498% |
| UNITED HEALTHCARE | HMO | $63.28 | ↑ +576% |
| HORIZON | OMNIA | $73.35 | ↑ +684% |
| HORIZON | WORKERS COMP | $77.12 | ↑ +724% |
| INTERGROUP | ALL PRODUCTS | $78.40 | ↑ +738% |
| HORIZON | PIP | $84.00 | ↑ +797% |
| BERGEN RISK | ALL PRODUCTS | $84.00 | ↑ +797% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $88.48 | ↑ +845% |
| CIGNA | BH | $89.60 | ↑ +857% |
| AETNA | ASA | $90.91 | ↑ +871% |
| AETNA | PPO | $90.91 | ↑ +871% |
| AETNA | HMO | $90.91 | ↑ +871% |
| CHN | ALL PRODUCTS | $95.20 | ↑ +917% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $95.20 | ↑ +917% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $95.20 | ↑ +917% |
| QUALCARE | HMO | $98.78 | ↑ +955% |
| QUALCARE | PPO | $98.78 | ↑ +955% |
| QUALCARE | WORKERS COMP | $98.78 | ↑ +955% |
| HORIZON | HMO | $106.67 | ↑ +1040% |
| HORIZON | INDEMNITY | $107.22 | ↑ +1046% |
| HORIZON | SHP | $107.90 | ↑ +1053% |
| HORIZON | FEDERAL | $109.22 | ↑ +1067% |
| HORIZON | PPO | $109.22 | ↑ +1067% |
| AMERIHEALTH | REGIONAL HMO | $112.00 | ↑ +1097% |
| AMERIHEALTH | LOCAL HMO | $112.00 | ↑ +1097% |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $9.36 | $9.36 – $42.89 |
| Ocean University Medical Center | Brick | $9.36 | $9.36 – $42.89 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9.36 | $9.36 – $44.05 |
| Jersey Shore University Medical Center | Neptune City | $9.36 | $7.49 – $42.89 |
| Palisades Medical Center | North Bergen | $9.36 | $6.17 – $42.89 |
| Raritan Bay Medical Center | Perth Amboy | $9.36 | $9.36 – $42.89 |
| Riverview Medical Center | Red Bank | $9.36 | $4.32 – $42.89 |
| Southern Ocean Medical Center | Manahawkin | $9.36 | $9.36 – $42.89 |