Ghs layer closure 5.1 - 7.5 cm - 12053 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$470.51
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.
$1,503.00
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.
$270.54 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $270.54 | ↓ -43% |
| OPTUM HEALTH | MANAGED MEDICAID | $376.41 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $377.25 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $429.86 | ↓ -9% |
| KARNA | MEDICARE ADVANTAGE | $461.00 | ↓ -2% |
| AETNA | MEDICARE ADVANTAGE | $461.12 | ↓ -2% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $470.51 | ↑ +0% |
| VACCN | ALL PRODUCTS | $470.51 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $494.04 | ↑ +5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $809.00 | ↑ +72% |
| INTERGROUP | ALL PRODUCTS | $1,052.10 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $1,084.56 | ↑ +131% |
| OXFORD | ALL PRODUCTS | $1,104.25 | ↑ +135% |
| HORIZON | PIP | $1,127.25 | ↑ +140% |
| CIGNA | BH | $1,202.40 | ↑ +156% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,277.55 | ↑ +172% |
| QUALCARE | PPO | $1,325.65 | ↑ +182% |
| QUALCARE | HMO | $1,325.65 | ↑ +182% |
| QUALCARE | WORKERS COMP | $1,325.65 | ↑ +182% |
| HORIZON | WORKERS COMP | $2,755.00 | ↑ +486% |
| AETNA | PPO | $7,773.00 | ↑ +1552% |
| AETNA | ASA | $7,773.00 | ↑ +1552% |
| AETNA | HMO | $7,773.00 | ↑ +1552% |
| 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 layer closure 5.1 - 7.5 cm - 12053 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $442.22 | $368.00 – $530.67 |
| Ocean University Medical Center | Brick | $436.64 | $368.00 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $221.40 – $461.00 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $442.22 – $530.67 |
| Palisades Medical Center | North Bergen | $470.51 | $461.00 – $512.86 |
| Raritan Bay Medical Center | Perth Amboy | $442.61 | $276.75 – $795.00 |
| Riverview Medical Center | Red Bank | $442.22 | $368.00 – $530.67 |
| Southern Ocean Medical Center | Manahawkin | $436.64 | $436.64 – $523.97 |