Ghs refill of implantable pump at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$390.62
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.
$606.00
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.
$109.08 with CLOVER vs $18,693.00 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 | $109.08 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $152.11 | ↓ -61% |
| KARNA | MEDICARE ADVANTAGE | $164.30 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.32 | ↓ -56% |
| OPTUM HEALTH | MANAGED MEDICAID | $312.49 | ↓ -20% |
| VACCN | ALL PRODUCTS | $390.62 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $390.62 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $390.62 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $390.62 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.62 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $390.62 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $391.64 | ↑ +0% |
| HORIZON | OMNIA | $396.87 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $410.15 | ↑ +5% |
| INTERGROUP | ALL PRODUCTS | $424.20 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $454.50 | ↑ +16% |
| HORIZON | PIP | $454.50 | ↑ +16% |
| CIGNA | BH | $484.80 | ↑ +24% |
| LHP HEALTH | ALL PRODUCTS | $496.92 | ↑ +27% |
| CHN | ALL PRODUCTS | $515.10 | ↑ +32% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $515.10 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $515.10 | ↑ +32% |
| QUALCARE | WORKERS COMP | $539.34 | ↑ +38% |
| QUALCARE | PPO | $539.34 | ↑ +38% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $545.40 | ↑ +40% |
| CIGNA | HMO | $551.10 | ↑ +41% |
| CIGNA | PPO | $551.10 | ↑ +41% |
| HORIZON | HMO | $577.15 | ↑ +48% |
| HORIZON | INDEMNITY | $580.12 | ↑ +49% |
| HORIZON | SHP | $583.82 | ↑ +49% |
| HORIZON | PPO | $590.97 | ↑ +51% |
| HORIZON | FEDERAL | $590.97 | ↑ +51% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +598% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +720% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +862% |
| QUALCARE | HMO | $7,712.00 | ↑ +1874% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +1951% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +2179% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +4201% |
| AETNA | PPO | $18,693.00 | ↑ +4685% |
| AETNA | HMO | $18,693.00 | ↑ +4685% |
| AETNA | ASA | $18,693.00 | ↑ +4685% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs refill of implantable pump at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $440.56 |
| Ocean University Medical Center | Brick | $362.50 | $155.29 – $435.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $367.45 | $164.30 – $367.45 |
| Jersey Shore University Medical Center | Neptune City | $367.13 | $155.29 – $440.56 |
| Palisades Medical Center | North Bergen | $390.62 | $164.30 – $425.77 |
| Raritan Bay Medical Center | Perth Amboy | $367.45 | $164.30 – $440.94 |
| Riverview Medical Center | Red Bank | $367.13 | $155.29 – $440.56 |
| Southern Ocean Medical Center | Manahawkin | $362.50 | $155.29 – $435.00 |