Group mnt 2 or more 30 mins at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$19.31
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.
$81.00
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.
$14.58 with CLOVER vs $1,496.00 with OXFORD — 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 | $14.58 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $15.45 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $19.31 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.31 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.28 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $20.33 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $23.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $27.80 | ↑ +44% |
| HORIZON | MANAGED MEDICAID | $40.10 | ↑ +108% |
| HORIZON | OMNIA | $53.05 | ↑ +175% |
| HORIZON | WORKERS COMP | $55.78 | ↑ +189% |
| INTERGROUP | ALL PRODUCTS | $56.70 | ↑ +194% |
| BERGEN RISK | ALL PRODUCTS | $60.75 | ↑ +215% |
| HORIZON | PIP | $60.75 | ↑ +215% |
| LHP HEALTH | ALL PRODUCTS | $63.99 | ↑ +231% |
| CIGNA | BH | $64.80 | ↑ +236% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $68.85 | ↑ +257% |
| CHN | ALL PRODUCTS | $68.85 | ↑ +257% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $68.85 | ↑ +257% |
| QUALCARE | HMO | $71.44 | ↑ +270% |
| QUALCARE | PPO | $71.44 | ↑ +270% |
| QUALCARE | WORKERS COMP | $71.44 | ↑ +270% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $72.90 | ↑ +278% |
| AETNA | ASA | $77.11 | ↑ +299% |
| AETNA | HMO | $77.11 | ↑ +299% |
| AETNA | PPO | $77.11 | ↑ +299% |
| HORIZON | HMO | $77.14 | ↑ +299% |
| HORIZON | INDEMNITY | $77.54 | ↑ +302% |
| HORIZON | SHP | $78.04 | ↑ +304% |
| CIGNA | HMO | $78.37 | ↑ +306% |
| CIGNA | PPO | $78.37 | ↑ +306% |
| HORIZON | PPO | $78.99 | ↑ +309% |
| HORIZON | FEDERAL | $78.99 | ↑ +309% |
| AMERIHEALTH | LOCAL HMO | $450.00 | ↑ +2230% |
| AMERIHEALTH | REGIONAL HMO | $534.00 | ↑ +2665% |
| UNITED HEALTHCARE | HMO | $1,035.00 | ↑ +5260% |
| OXFORD | ALL PRODUCTS | $1,496.00 | ↑ +7647% |
Visitor-reported prices
Comments
Group mnt 2 or more 30 mins at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19.31 | $19.31 – $465.00 |
| Ocean University Medical Center | Brick | $19.31 | $19.31 – $465.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.31 | $6.14 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $19.31 | $15.45 – $443.00 |
| Palisades Medical Center | North Bergen | $19.31 | $6.05 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $19.31 | $7.68 – $308.00 |
| Riverview Medical Center | Red Bank | $19.31 | $19.31 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $19.31 | $19.31 – $465.00 |