Inj nephrosto/ureterogram w/img exstng access at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$786.05
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.
$1,997.00
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.
$135.02 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $135.02 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $138.62 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $359.46 | ↓ -54% |
| OPTUM HEALTH | MANAGED MEDICAID | $439.34 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $501.25 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $571.14 | ↓ -27% |
| AETNA | MEDICARE ADVANTAGE | $591.11 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $786.05 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $786.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $825.36 | ↑ +5% |
| HORIZON | OMNIA | $1,307.84 | ↑ +66% |
| INTERGROUP | ALL PRODUCTS | $1,397.90 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $1,497.75 | ↑ +91% |
| HORIZON | PIP | $1,497.75 | ↑ +91% |
| CIGNA | BH | $1,597.60 | ↑ +103% |
| LHP HEALTH | ALL PRODUCTS | $1,637.54 | ↑ +108% |
| CHN | ALL PRODUCTS | $1,697.45 | ↑ +116% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,697.45 | ↑ +116% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,697.45 | ↑ +116% |
| QUALCARE | PPO | $1,777.33 | ↑ +126% |
| QUALCARE | WORKERS COMP | $1,777.33 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,797.30 | ↑ +129% |
| CIGNA | PPO | $1,816.07 | ↑ +131% |
| CIGNA | HMO | $1,816.07 | ↑ +131% |
| HORIZON | HMO | $1,901.94 | ↑ +142% |
| HORIZON | INDEMNITY | $1,911.73 | ↑ +143% |
| HORIZON | SHP | $1,923.91 | ↑ +145% |
| HORIZON | FEDERAL | $1,947.47 | ↑ +148% |
| HORIZON | PPO | $1,947.47 | ↑ +148% |
| OXFORD | ALL PRODUCTS | $4,721.00 | ↑ +501% |
| UNITED HEALTHCARE | HMO | $5,606.00 | ↑ +613% |
| QUALCARE | HMO | $7,712.00 | ↑ +881% |
| AETNA | ASA | $7,773.00 | ↑ +889% |
| AETNA | PPO | $7,773.00 | ↑ +889% |
| AETNA | HMO | $7,773.00 | ↑ +889% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +919% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +1033% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +2038% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $738.80 | $738.80 – $886.55 |
| Ocean University Medical Center | Brick | $729.46 | $134.24 – $1,163.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $138.62 – $1,163.86 |
| Jersey Shore University Medical Center | Neptune City | $738.80 | $134.24 – $886.55 |
| Palisades Medical Center | North Bergen | $786.05 | $138.62 – $856.80 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $138.62 – $887.32 |
| Riverview Medical Center | Red Bank | $738.80 | $104.44 – $886.55 |
| Southern Ocean Medical Center | Manahawkin | $729.46 | $134.24 – $875.36 |