Ins/rpl ldless pm right vent w img & eval at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$22,459.34
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.
$37,400.00
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.
$993.76 with KARNA vs $37,400.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $993.76 | ↓ -96% |
| UNITED HEALTHCARE | HMO | $2,030.00 | ↓ -91% |
| OXFORD | ALL PRODUCTS | $2,033.00 | ↓ -91% |
| CLOVER | MEDICARE ADVANTAGE | $6,732.00 | ↓ -70% |
| AETNA | PPO | $7,773.00 | ↓ -65% |
| AETNA | ASA | $7,773.00 | ↓ -65% |
| AETNA | HMO | $7,773.00 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $9,387.40 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $10,696.40 | ↓ -52% |
| OPTUM HEALTH | MANAGED MEDICAID | $17,967.47 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $18,513.00 | ↓ -18% |
| HORIZON | MEDICARE ADVANTAGE | $22,459.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $22,459.34 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $22,459.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $22,459.34 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $22,459.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $22,459.34 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $22,533.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $23,582.31 | ↑ +5% |
| HORIZON | OMNIA | $24,493.26 | ↑ +9% |
| HORIZON | WORKERS COMP | $25,753.64 | ↑ +15% |
| INTERGROUP | ALL PRODUCTS | $26,180.00 | ↑ +17% |
| HORIZON | PIP | $28,050.00 | ↑ +25% |
| BERGEN RISK | ALL PRODUCTS | $28,050.00 | ↑ +25% |
| LHP HEALTH | ALL PRODUCTS | $29,546.00 | ↑ +32% |
| CIGNA | BH | $29,920.00 | ↑ +33% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $31,790.00 | ↑ +42% |
| CHN | ALL PRODUCTS | $31,790.00 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $31,790.00 | ↑ +42% |
| QUALCARE | WORKERS COMP | $32,986.80 | ↑ +47% |
| QUALCARE | HMO | $32,986.80 | ↑ +47% |
| QUALCARE | PPO | $32,986.80 | ↑ +47% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $33,660.00 | ↑ +50% |
| HORIZON | HMO | $35,619.76 | ↑ +59% |
| HORIZON | INDEMNITY | $35,803.02 | ↑ +59% |
| HORIZON | SHP | $36,031.16 | ↑ +60% |
| CIGNA | PPO | $36,184.50 | ↑ +61% |
| CIGNA | HMO | $36,184.50 | ↑ +61% |
| HORIZON | FEDERAL | $36,472.48 | ↑ +62% |
| HORIZON | PPO | $36,472.48 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $37,400.00 | ↑ +67% |
| AMERIHEALTH | LOCAL HMO | $37,400.00 | ↑ +67% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $238.10 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $456.04 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $467.02 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $450.54 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $245.10 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $308.13 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $901.08 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |