Inj sebelipase alfa 1 mg at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$539.69
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.
$2,067.53
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.
$372.16 with CLOVER vs $1,860.78 with BRIGHTON HEALTH PLAN — 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 | $372.16 | ↓ -31% |
| OPTUM HEALTH | MANAGED MEDICAID | $431.93 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $538.56 | ↓ -0% |
| VACCN | ALL PRODUCTS | $539.69 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $539.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $539.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $539.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $566.67 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $676.70 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $688.02 | ↑ +27% |
| CIGNA | HMO | $700.89 | ↑ +30% |
| CIGNA | PPO | $700.89 | ↑ +30% |
| AMERIHEALTH | REGIONAL HMO | $751.75 | ↑ +39% |
| HORIZON | MANAGED MEDICAID | $766.64 | ↑ +42% |
| AETNA | ASA | $884.90 | ↑ +64% |
| AETNA | HMO | $884.90 | ↑ +64% |
| AETNA | PPO | $884.90 | ↑ +64% |
| WELLCARE | MANAGED MEDICAID | $930.39 | ↑ +72% |
| WELLCARE | MEDICARE ADVANTAGE | $930.39 | ↑ +72% |
| AETNA | MANAGED MEDICAID | $1,013.09 | ↑ +88% |
| AMERIGROUP | MANAGED MEDICAID | $1,033.77 | ↑ +92% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,033.77 | ↑ +92% |
| LHP HEALTH | ALL PRODUCTS | $1,075.12 | ↑ +99% |
| UNITED HEALTHCARE | HMO | $1,168.15 | ↑ +116% |
| OXFORD | ALL PRODUCTS | $1,168.15 | ↑ +116% |
| BERGEN RISK | ALL PRODUCTS | $1,240.52 | ↑ +130% |
| HORIZON | OMNIA | $1,244.45 | ↑ +131% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,343.89 | ↑ +149% |
| CHN | ALL PRODUCTS | $1,343.89 | ↑ +149% |
| HORIZON | WORKERS COMP | $1,423.70 | ↑ +164% |
| INTERGROUP | ALL PRODUCTS | $1,447.27 | ↑ +168% |
| HORIZON | PIP | $1,550.65 | ↑ +187% |
| CIGNA | BH | $1,654.02 | ↑ +206% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,757.40 | ↑ +226% |
| HORIZON | HMO | $1,809.71 | ↑ +235% |
| HORIZON | INDEMNITY | $1,819.22 | ↑ +237% |
| QUALCARE | PPO | $1,823.56 | ↑ +238% |
| QUALCARE | HMO | $1,823.56 | ↑ +238% |
| QUALCARE | WORKERS COMP | $1,823.56 | ↑ +238% |
| HORIZON | SHP | $1,830.18 | ↑ +239% |
| HORIZON | FEDERAL | $1,853.13 | ↑ +243% |
| HORIZON | PPO | $1,853.13 | ↑ +243% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,860.78 | ↑ +245% |
Visitor-reported prices
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Inj sebelipase alfa 1 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $539.69 | $539.69 – $1,159.37 |
| Ocean University Medical Center | Brick | $539.69 | $539.69 – $1,159.37 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $539.69 | $539.69 – $1,159.37 |
| Jersey Shore University Medical Center | Neptune City | $539.69 | $539.69 – $1,195.81 |
| Palisades Medical Center | North Bergen | $539.42 | $539.69 – $1,159.37 |
| Raritan Bay Medical Center | Perth Amboy | $539.69 | $539.69 – $1,159.37 |
| Riverview Medical Center | Red Bank | $539.69 | $539.69 – $1,159.37 |
| Southern Ocean Medical Center | Manahawkin | $539.69 | $539.69 – $1,159.37 |