Ghs histoplasma antigen at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$13.25
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.
$193.00
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.
$9.28 with HORIZON vs $193.00 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 | $9.28 | ↓ -30% |
| OPTUM HEALTH | MANAGED MEDICAID | $10.60 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $13.25 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.25 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.25 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.91 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $16.56 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $17.62 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $48.44 | ↑ +266% |
| CIGNA | PPO | $59.50 | ↑ +349% |
| CIGNA | HMO | $59.50 | ↑ +349% |
| OXFORD | ALL PRODUCTS | $96.50 | ↑ +628% |
| UNITED HEALTHCARE | HMO | $109.05 | ↑ +723% |
| HORIZON | OMNIA | $126.40 | ↑ +854% |
| HORIZON | WORKERS COMP | $132.90 | ↑ +903% |
| INTERGROUP | ALL PRODUCTS | $135.10 | ↑ +920% |
| HORIZON | PIP | $144.75 | ↑ +992% |
| BERGEN RISK | ALL PRODUCTS | $144.75 | ↑ +992% |
| AETNA | ASA | $150.75 | ↑ +1038% |
| AETNA | PPO | $150.75 | ↑ +1038% |
| AETNA | HMO | $150.75 | ↑ +1038% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $152.47 | ↑ +1051% |
| CIGNA | BH | $154.40 | ↑ +1065% |
| CHN | ALL PRODUCTS | $164.05 | ↑ +1138% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $164.05 | ↑ +1138% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $164.05 | ↑ +1138% |
| QUALCARE | HMO | $170.23 | ↑ +1185% |
| QUALCARE | PPO | $170.23 | ↑ +1185% |
| QUALCARE | WORKERS COMP | $170.23 | ↑ +1185% |
| HORIZON | HMO | $183.81 | ↑ +1287% |
| HORIZON | INDEMNITY | $184.76 | ↑ +1294% |
| HORIZON | SHP | $185.94 | ↑ +1303% |
| HORIZON | FEDERAL | $188.21 | ↑ +1320% |
| HORIZON | PPO | $188.21 | ↑ +1320% |
| AMERIHEALTH | REGIONAL HMO | $193.00 | ↑ +1357% |
| AMERIHEALTH | LOCAL HMO | $193.00 | ↑ +1357% |
Visitor-reported prices
Comments
Ghs histoplasma antigen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.25 | $13.25 – $60.72 |
| Ocean University Medical Center | Brick | $13.25 | $13.19 – $60.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.25 | $13.19 – $62.36 |
| Jersey Shore University Medical Center | Neptune City | $13.25 | $10.60 – $60.72 |
| Palisades Medical Center | North Bergen | $13.25 | $10.23 – $60.72 |
| Raritan Bay Medical Center | Perth Amboy | $13.25 | $13.25 – $60.72 |
| Riverview Medical Center | Red Bank | $13.25 | $7.18 – $60.72 |
| Southern Ocean Medical Center | Manahawkin | $13.25 | $13.25 – $60.72 |