Ghs insertion of needle - bone at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$469.93
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.
$706.00
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.
$123.42 with KARNA vs $7,773.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $123.42 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $127.08 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $177.21 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $201.92 | ↓ -57% |
| OPTUM HEALTH | MANAGED MEDICAID | $375.95 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $460.76 | ↓ -2% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $469.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $469.93 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $469.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $469.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $469.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $469.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $493.43 | ↑ +5% |
| INTERGROUP | ALL PRODUCTS | $494.20 | ↑ +5% |
| UNITED HEALTHCARE | HMO | $509.45 | ↑ +8% |
| OXFORD | ALL PRODUCTS | $518.70 | ↑ +10% |
| HORIZON | PIP | $529.50 | ↑ +13% |
| CIGNA | BH | $564.80 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $600.10 | ↑ +28% |
| QUALCARE | PPO | $622.69 | ↑ +33% |
| QUALCARE | WORKERS COMP | $622.69 | ↑ +33% |
| QUALCARE | HMO | $622.69 | ↑ +33% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $809.00 | ↑ +72% |
| HORIZON | WORKERS COMP | $2,755.00 | ↑ +486% |
| AETNA | PPO | $7,773.00 | ↑ +1554% |
| AETNA | ASA | $7,773.00 | ↑ +1554% |
| AETNA | HMO | $7,773.00 | ↑ +1554% |
| HORIZON | SHP | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| LHP HEALTH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| HORIZON | FEDERAL | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| CHN | ALL PRODUCTS | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $441.68 | $368.00 – $530.02 |
| Ocean University Medical Center | Brick | $436.10 | $120.75 – $523.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.06 | $74.00 – $442.06 |
| Jersey Shore University Medical Center | Neptune City | $441.68 | $120.75 – $530.02 |
| Palisades Medical Center | North Bergen | $469.93 | $123.42 – $512.23 |
| Raritan Bay Medical Center | Perth Amboy | $442.06 | $92.50 – $795.00 |
| Riverview Medical Center | Red Bank | $441.68 | $120.75 – $530.02 |
| Southern Ocean Medical Center | Manahawkin | $436.10 | $120.75 – $523.32 |