Ghs st - eval for alt comm at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$46.22
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.
$205.00
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.
$18.25 with KARNA vs $487.00 with UNITED HEALTHCARE — 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 | $18.25 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $36.90 | ↓ -20% |
| OPTUM HEALTH | MANAGED MEDICAID | $36.98 | ↓ -20% |
| VACCN | ALL PRODUCTS | $46.22 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $46.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $46.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.53 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $51.46 | ↑ +11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.63 | ↑ +27% |
| HORIZON | MANAGED MEDICAID | $101.48 | ↑ +120% |
| HORIZON | OMNIA | $134.25 | ↑ +190% |
| HORIZON | WORKERS COMP | $141.16 | ↑ +205% |
| INTERGROUP | ALL PRODUCTS | $143.50 | ↑ +210% |
| HORIZON | PIP | $153.75 | ↑ +233% |
| BERGEN RISK | ALL PRODUCTS | $153.75 | ↑ +233% |
| LHP HEALTH | ALL PRODUCTS | $161.95 | ↑ +250% |
| CIGNA | BH | $164.00 | ↑ +255% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $174.25 | ↑ +277% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $174.25 | ↑ +277% |
| CHN | ALL PRODUCTS | $174.25 | ↑ +277% |
| QUALCARE | HMO | $180.81 | ↑ +291% |
| QUALCARE | PPO | $180.81 | ↑ +291% |
| QUALCARE | WORKERS COMP | $180.81 | ↑ +291% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $184.50 | ↑ +299% |
| AETNA | ASA | $195.16 | ↑ +322% |
| AETNA | PPO | $195.16 | ↑ +322% |
| AETNA | HMO | $195.16 | ↑ +322% |
| HORIZON | HMO | $195.24 | ↑ +322% |
| HORIZON | INDEMNITY | $196.25 | ↑ +325% |
| HORIZON | SHP | $197.50 | ↑ +327% |
| CIGNA | HMO | $198.34 | ↑ +329% |
| CIGNA | PPO | $198.34 | ↑ +329% |
| HORIZON | PPO | $199.92 | ↑ +333% |
| HORIZON | FEDERAL | $199.92 | ↑ +333% |
| AMERIHEALTH | LOCAL HMO | $205.00 | ↑ +344% |
| AMERIHEALTH | REGIONAL HMO | $205.00 | ↑ +344% |
| OXFORD | ALL PRODUCTS | $485.00 | ↑ +949% |
| UNITED HEALTHCARE | HMO | $487.00 | ↑ +954% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - eval for alt comm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $465.00 |
| Ocean University Medical Center | Brick | $42.90 | $17.67 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $18.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $17.67 – $443.00 |
| Palisades Medical Center | North Bergen | $46.22 | $18.25 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $18.25 – $105.00 |
| Riverview Medical Center | Red Bank | $43.44 | $17.67 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $42.90 | $17.67 – $465.00 |