Hlth bhv ivntj indiv 1st 30 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$189.21
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.
$464.00
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.
$83.52 with CLOVER vs $464.00 with AMERIHEALTH — 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 | $83.52 | ↓ -56% |
| KARNA | MEDICARE ADVANTAGE | $98.14 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $116.46 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $132.70 | ↓ -30% |
| OPTUM HEALTH | MANAGED MEDICAID | $151.37 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $184.38 | ↓ -3% |
| HORIZON | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.21 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $198.68 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $229.68 | ↑ +21% |
| HORIZON | OMNIA | $303.87 | ↑ +61% |
| HORIZON | WORKERS COMP | $319.51 | ↑ +69% |
| INTERGROUP | ALL PRODUCTS | $324.80 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $334.82 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $340.90 | ↑ +80% |
| HORIZON | PIP | $348.00 | ↑ +84% |
| BERGEN RISK | ALL PRODUCTS | $348.00 | ↑ +84% |
| LHP HEALTH | ALL PRODUCTS | $366.56 | ↑ +94% |
| CIGNA | BH | $371.20 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $394.40 | ↑ +108% |
| CHN | ALL PRODUCTS | $394.40 | ↑ +108% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $394.40 | ↑ +108% |
| QUALCARE | WORKERS COMP | $409.25 | ↑ +116% |
| QUALCARE | HMO | $409.25 | ↑ +116% |
| QUALCARE | PPO | $409.25 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $417.60 | ↑ +121% |
| AETNA | ASA | $441.73 | ↑ +133% |
| AETNA | PPO | $441.73 | ↑ +133% |
| AETNA | HMO | $441.73 | ↑ +133% |
| HORIZON | HMO | $441.91 | ↑ +134% |
| HORIZON | INDEMNITY | $444.19 | ↑ +135% |
| HORIZON | SHP | $447.02 | ↑ +136% |
| CIGNA | PPO | $448.92 | ↑ +137% |
| CIGNA | HMO | $448.92 | ↑ +137% |
| HORIZON | PPO | $452.49 | ↑ +139% |
| HORIZON | FEDERAL | $452.49 | ↑ +139% |
| AMERIHEALTH | REGIONAL HMO | $464.00 | ↑ +145% |
| AMERIHEALTH | LOCAL HMO | $464.00 | ↑ +145% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj indiv 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $213.41 |
| Ocean University Medical Center | Brick | $175.59 | $95.79 – $210.71 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $177.99 | $33.47 – $168.70 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $33.47 – $213.41 |
| Palisades Medical Center | North Bergen | $189.21 | $72.06 – $206.24 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $91.45 – $213.59 |
| Riverview Medical Center | Red Bank | $177.84 | $95.79 – $213.41 |
| Southern Ocean Medical Center | Manahawkin | $175.59 | $33.47 – $210.71 |