Ins/rpl pm gen exist dual lead at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$12,324.60
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.
$24,154.00
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.
$708.03 with KARNA vs $62,229.00 with UNITED HEALTHCARE — 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 | $708.03 | ↓ -94% |
| CLOVER | MEDICARE ADVANTAGE | $4,347.72 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $6,062.65 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,908.04 | ↓ -44% |
| AETNA | PPO | $7,773.00 | ↓ -37% |
| AETNA | ASA | $7,773.00 | ↓ -37% |
| AETNA | HMO | $7,773.00 | ↓ -37% |
| OPTUM HEALTH | MANAGED MEDICAID | $9,859.68 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $11,956.23 | ↓ -3% |
| HORIZON | MEDICARE ADVANTAGE | $12,324.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,324.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,324.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,324.60 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $12,324.60 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,324.60 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12,348.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,940.83 | ↑ +5% |
| HORIZON | OMNIA | $15,818.45 | ↑ +28% |
| HORIZON | WORKERS COMP | $16,632.44 | ↑ +35% |
| INTERGROUP | ALL PRODUCTS | $16,907.80 | ↑ +37% |
| BERGEN RISK | ALL PRODUCTS | $18,115.50 | ↑ +47% |
| HORIZON | PIP | $18,115.50 | ↑ +47% |
| LHP HEALTH | ALL PRODUCTS | $19,081.66 | ↑ +55% |
| CIGNA | BH | $19,323.20 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $20,530.90 | ↑ +67% |
| CHN | ALL PRODUCTS | $20,530.90 | ↑ +67% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $20,530.90 | ↑ +67% |
| QUALCARE | HMO | $21,303.83 | ↑ +73% |
| QUALCARE | PPO | $21,303.83 | ↑ +73% |
| QUALCARE | WORKERS COMP | $21,303.83 | ↑ +73% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,738.60 | ↑ +76% |
| HORIZON | HMO | $23,004.27 | ↑ +87% |
| HORIZON | INDEMNITY | $23,122.62 | ↑ +88% |
| HORIZON | SHP | $23,269.96 | ↑ +89% |
| CIGNA | HMO | $23,369.00 | ↑ +90% |
| CIGNA | PPO | $23,369.00 | ↑ +90% |
| HORIZON | PPO | $23,554.98 | ↑ +91% |
| HORIZON | FEDERAL | $23,554.98 | ↑ +91% |
| AMERIHEALTH | REGIONAL HMO | $24,154.00 | ↑ +96% |
| AMERIHEALTH | LOCAL HMO | $24,154.00 | ↑ +96% |
| OXFORD | ALL PRODUCTS | $61,204.00 | ↑ +397% |
| UNITED HEALTHCARE | HMO | $62,229.00 | ↑ +405% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $169.39 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $375.53 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $384.57 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $371.00 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $174.37 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $219.21 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $742.00 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |