Hdr rdncl ntrstl/icav brchtx at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$817.07
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.
$10,010.00
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.
$653.66 with OPTUM HEALTH vs $9,761.75 with HORIZON — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $653.66 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $756.61 | ↓ -7% |
| WELLCARE | MANAGED MEDICAID | $817.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $817.07 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $817.07 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $817.07 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $817.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $817.07 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $829.13 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $857.93 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $1,747.06 | ↑ +114% |
| CLOVER | MEDICARE ADVANTAGE | $1,801.80 | ↑ +121% |
| AETNA | MANAGED MEDICAID | $2,512.51 | ↑ +208% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,862.86 | ↑ +250% |
| OXFORD | ALL PRODUCTS | $3,015.00 | ↑ +269% |
| UNITED HEALTHCARE | HMO | $3,250.00 | ↑ +298% |
| AMERIHEALTH | LOCAL HMO | $4,913.91 | ↑ +501% |
| AMERIHEALTH | REGIONAL HMO | $5,460.46 | ↑ +568% |
| HORIZON | OMNIA | $6,555.55 | ↑ +702% |
| HORIZON | WORKERS COMP | $6,892.89 | ↑ +744% |
| INTERGROUP | ALL PRODUCTS | $7,007.00 | ↑ +758% |
| AETNA | PPO | $7,478.47 | ↑ +815% |
| AETNA | ASA | $7,478.47 | ↑ +815% |
| AETNA | HMO | $7,478.47 | ↑ +815% |
| HORIZON | PIP | $7,507.50 | ↑ +819% |
| BERGEN RISK | ALL PRODUCTS | $7,507.50 | ↑ +819% |
| LHP HEALTH | ALL PRODUCTS | $7,907.90 | ↑ +868% |
| CIGNA | BH | $8,008.00 | ↑ +880% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,508.50 | ↑ +941% |
| CHN | ALL PRODUCTS | $8,508.50 | ↑ +941% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,508.50 | ↑ +941% |
| QUALCARE | PPO | $8,828.82 | ↑ +981% |
| QUALCARE | HMO | $8,828.82 | ↑ +981% |
| QUALCARE | WORKERS COMP | $8,828.82 | ↑ +981% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,009.00 | ↑ +1003% |
| HORIZON | HMO | $9,533.52 | ↑ +1067% |
| HORIZON | INDEMNITY | $9,582.57 | ↑ +1073% |
| HORIZON | SHP | $9,643.63 | ↑ +1080% |
| CIGNA | HMO | $9,684.68 | ↑ +1085% |
| CIGNA | PPO | $9,684.68 | ↑ +1085% |
| HORIZON | FEDERAL | $9,761.75 | ↑ +1095% |
| HORIZON | PPO | $9,761.75 | ↑ +1095% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $767.95 | $767.95 – $2,774.00 |
| Ocean University Medical Center | Brick | $758.25 | $293.00 – $2,630.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $768.62 | $293.00 – $2,997.00 |
| Jersey Shore University Medical Center | Neptune City | $767.95 | $767.95 – $2,789.00 |
| Palisades Medical Center | North Bergen | $817.07 | $817.07 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $768.62 | $768.62 – $2,746.00 |
| Riverview Medical Center | Red Bank | $767.95 | $712.49 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $758.25 | $758.25 – $2,703.00 |