Hlth bhv ivntj grp 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.
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What you pay up front if you don't use insurance.
$169.00
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.
$15.71 with KARNA vs $406.00 with QUALCARE — 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 | $15.71 | ↓ -55% |
| OPTUM HEALTH | MANAGED MEDICAID | $28.07 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $30.42 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $33.18 | ↓ -5% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $35.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.84 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $42.42 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $48.33 | ↑ +38% |
| HORIZON | MANAGED MEDICAID | $83.66 | ↑ +138% |
| HORIZON | OMNIA | $110.68 | ↑ +216% |
| HORIZON | WORKERS COMP | $116.37 | ↑ +232% |
| INTERGROUP | ALL PRODUCTS | $118.30 | ↑ +237% |
| UNITED HEALTHCARE | HMO | $121.95 | ↑ +248% |
| OXFORD | ALL PRODUCTS | $124.16 | ↑ +254% |
| HORIZON | PIP | $126.75 | ↑ +261% |
| BERGEN RISK | ALL PRODUCTS | $126.75 | ↑ +261% |
| LHP HEALTH | ALL PRODUCTS | $133.51 | ↑ +281% |
| CIGNA | BH | $135.20 | ↑ +285% |
| CHN | ALL PRODUCTS | $143.65 | ↑ +309% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $143.65 | ↑ +309% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $143.65 | ↑ +309% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $152.10 | ↑ +334% |
| AETNA | ASA | $160.89 | ↑ +359% |
| AETNA | PPO | $160.89 | ↑ +359% |
| AETNA | HMO | $160.89 | ↑ +359% |
| HORIZON | HMO | $160.96 | ↑ +359% |
| HORIZON | INDEMNITY | $161.78 | ↑ +361% |
| HORIZON | SHP | $162.81 | ↑ +364% |
| CIGNA | PPO | $163.51 | ↑ +366% |
| CIGNA | HMO | $163.51 | ↑ +366% |
| HORIZON | PPO | $164.81 | ↑ +370% |
| HORIZON | FEDERAL | $164.81 | ↑ +370% |
| AMERIHEALTH | LOCAL HMO | $169.00 | ↑ +382% |
| AMERIHEALTH | REGIONAL HMO | $169.00 | ↑ +382% |
| QUALCARE | HMO | $365.00 | ↑ +940% |
| QUALCARE | PPO | $406.00 | ↑ +1057% |
| QUALCARE | WORKERS COMP | $406.00 | ↑ +1057% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj grp 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 | $15.31 – $39.07 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $4.90 – $33.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $4.90 – $39.57 |
| Palisades Medical Center | North Bergen | $35.08 | $10.68 – $38.24 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $13.55 – $39.60 |
| Riverview Medical Center | Red Bank | $32.97 | $15.31 – $39.57 |
| Southern Ocean Medical Center | Manahawkin | $32.56 | $4.90 – $39.07 |