Ghs intermed repair over 30 cm - 12037 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$2,154.21
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.
?
What you pay up front if you don't use insurance.
$3,241.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$583.38 with CLOVER vs $16,802.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $583.38 | ↓ -73% |
| KARNA | MEDICARE ADVANTAGE | $699.25 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $813.49 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $926.93 | ↓ -57% |
| OPTUM HEALTH | MANAGED MEDICAID | $1,723.37 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $2,108.87 | ↓ -2% |
| HORIZON | OMNIA | $2,122.53 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $2,154.21 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $2,154.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,154.21 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,154.21 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,154.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,154.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,261.92 | ↑ +5% |
| INTERGROUP | ALL PRODUCTS | $2,268.70 | ↑ +5% |
| HORIZON | PIP | $2,430.75 | ↑ +13% |
| BERGEN RISK | ALL PRODUCTS | $2,430.75 | ↑ +13% |
| CIGNA | BH | $2,592.80 | ↑ +20% |
| LHP HEALTH | ALL PRODUCTS | $2,657.62 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +27% |
| CHN | ALL PRODUCTS | $2,754.85 | ↑ +28% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,754.85 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,754.85 | ↑ +28% |
| QUALCARE | WORKERS COMP | $2,884.49 | ↑ +34% |
| QUALCARE | PPO | $2,884.49 | ↑ +34% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,916.90 | ↑ +35% |
| CIGNA | HMO | $2,947.37 | ↑ +37% |
| CIGNA | PPO | $2,947.37 | ↑ +37% |
| HORIZON | HMO | $3,086.73 | ↑ +43% |
| HORIZON | INDEMNITY | $3,102.61 | ↑ +44% |
| HORIZON | SHP | $3,122.38 | ↑ +45% |
| HORIZON | FEDERAL | $3,160.62 | ↑ +47% |
| HORIZON | PPO | $3,160.62 | ↑ +47% |
| OXFORD | ALL PRODUCTS | $7,146.00 | ↑ +232% |
| QUALCARE | HMO | $7,712.00 | ↑ +258% |
| AETNA | PPO | $7,773.00 | ↑ +261% |
| AETNA | HMO | $7,773.00 | ↑ +261% |
| AETNA | ASA | $7,773.00 | ↑ +261% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +272% |
| UNITED HEALTHCARE | HMO | $8,568.00 | ↑ +298% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +313% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +680% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,024.70 | $2,024.70 – $2,429.64 |
| Ocean University Medical Center | Brick | $1,999.13 | $678.59 – $2,398.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,026.46 | $384.52 – $2,026.46 |
| Jersey Shore University Medical Center | Neptune City | $2,024.70 | $678.59 – $2,429.64 |
| Palisades Medical Center | North Bergen | $2,154.21 | $699.25 – $2,348.09 |
| Raritan Bay Medical Center | Perth Amboy | $2,026.46 | $699.25 – $2,431.75 |
| Riverview Medical Center | Red Bank | $2,024.70 | $678.59 – $2,429.64 |
| Southern Ocean Medical Center | Manahawkin | $1,999.13 | $678.59 – $2,398.95 |