Hlth bhv ivntj fam 1st 30 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$35.08
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.
?
What you pay up front if you don't use insurance.
$279.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.07 with OPTUM HEALTH vs $279.00 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28.07 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $33.18 | ↓ -5% |
| WELLCARE | MANAGED MEDICAID | $35.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35.08 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.84 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $50.22 | ↑ +43% |
| AETNA | MANAGED MEDICAID | $70.03 | ↑ +100% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $79.79 | ↑ +127% |
| KARNA | MEDICARE ADVANTAGE | $103.65 | ↑ +195% |
| HORIZON | MANAGED MEDICAID | $138.11 | ↑ +294% |
| HORIZON | OMNIA | $182.72 | ↑ +421% |
| HORIZON | WORKERS COMP | $192.12 | ↑ +448% |
| INTERGROUP | ALL PRODUCTS | $195.30 | ↑ +457% |
| UNITED HEALTHCARE | HMO | $201.33 | ↑ +474% |
| OXFORD | ALL PRODUCTS | $204.98 | ↑ +484% |
| HORIZON | PIP | $209.25 | ↑ +496% |
| BERGEN RISK | ALL PRODUCTS | $209.25 | ↑ +496% |
| LHP HEALTH | ALL PRODUCTS | $220.41 | ↑ +528% |
| CIGNA | BH | $223.20 | ↑ +536% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $237.15 | ↑ +576% |
| CHN | ALL PRODUCTS | $237.15 | ↑ +576% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $237.15 | ↑ +576% |
| QUALCARE | WORKERS COMP | $246.08 | ↑ +601% |
| QUALCARE | HMO | $246.08 | ↑ +601% |
| QUALCARE | PPO | $246.08 | ↑ +601% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $251.10 | ↑ +616% |
| AETNA | ASA | $265.61 | ↑ +657% |
| AETNA | PPO | $265.61 | ↑ +657% |
| AETNA | HMO | $265.61 | ↑ +657% |
| HORIZON | HMO | $265.72 | ↑ +657% |
| HORIZON | INDEMNITY | $267.09 | ↑ +661% |
| HORIZON | SHP | $268.79 | ↑ +666% |
| CIGNA | PPO | $269.93 | ↑ +669% |
| CIGNA | HMO | $269.93 | ↑ +669% |
| HORIZON | PPO | $272.08 | ↑ +676% |
| HORIZON | FEDERAL | $272.08 | ↑ +676% |
| AMERIHEALTH | REGIONAL HMO | $279.00 | ↑ +695% |
| AMERIHEALTH | LOCAL HMO | $279.00 | ↑ +695% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj fam 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Ocean University Medical Center | Brick | $32.56 | $29.79 – $101.20 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $29.79 – $103.65 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $30.73 – $101.20 |
| Palisades Medical Center | North Bergen | $35.08 | $35.08 – $103.65 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $33.00 – $103.65 |
| Riverview Medical Center | Red Bank | $32.97 | $32.97 – $101.20 |
| Southern Ocean Medical Center | Manahawkin | $32.56 | $30.73 – $101.20 |