Incision of eardrum at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$273.48
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.
$755.00
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.
$135.90 with CLOVER vs $16,802.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $135.90 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $189.51 | ↓ -31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $215.93 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $218.78 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $265.18 | ↓ -3% |
| HORIZON | MEDICARE ADVANTAGE | $273.48 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $273.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $273.48 | ↑ +0% |
| VACCN | ALL PRODUCTS | $273.48 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $273.48 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $273.48 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $282.47 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $287.15 | ↑ +5% |
| HORIZON | OMNIA | $494.45 | ↑ +81% |
| INTERGROUP | ALL PRODUCTS | $528.50 | ↑ +93% |
| HORIZON | PIP | $566.25 | ↑ +107% |
| BERGEN RISK | ALL PRODUCTS | $566.25 | ↑ +107% |
| CIGNA | BH | $604.00 | ↑ +121% |
| LHP HEALTH | ALL PRODUCTS | $619.10 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $641.75 | ↑ +135% |
| CHN | ALL PRODUCTS | $641.75 | ↑ +135% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $641.75 | ↑ +135% |
| QUALCARE | PPO | $671.95 | ↑ +146% |
| QUALCARE | WORKERS COMP | $671.95 | ↑ +146% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $679.50 | ↑ +148% |
| CIGNA | PPO | $686.60 | ↑ +151% |
| CIGNA | HMO | $686.60 | ↑ +151% |
| HORIZON | HMO | $719.06 | ↑ +163% |
| HORIZON | INDEMNITY | $722.76 | ↑ +164% |
| HORIZON | SHP | $727.37 | ↑ +166% |
| HORIZON | FEDERAL | $736.28 | ↑ +169% |
| HORIZON | PPO | $736.28 | ↑ +169% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +898% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +1072% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +1273% |
| QUALCARE | HMO | $7,712.00 | ↑ +2720% |
| AETNA | ASA | $7,773.00 | ↑ +2742% |
| AETNA | PPO | $7,773.00 | ↑ +2742% |
| AETNA | HMO | $7,773.00 | ↑ +2742% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +2830% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +3156% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +6044% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incision of eardrum at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Ocean University Medical Center | Brick | $253.79 | $232.22 – $304.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $67.20 – $265.18 |
| Jersey Shore University Medical Center | Neptune City | $257.04 | $254.85 – $308.44 |
| Palisades Medical Center | North Bergen | $273.48 | $265.18 – $298.09 |
| Raritan Bay Medical Center | Perth Amboy | $257.26 | $257.26 – $308.71 |
| Riverview Medical Center | Red Bank | $257.04 | $254.85 – $308.44 |
| Southern Ocean Medical Center | Manahawkin | $253.79 | $253.79 – $304.55 |