Insert eye socket implant at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$4,440.96
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.
$9,699.00
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.
$1,745.82 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 | $1,745.82 | ↓ -61% |
| KARNA | MEDICARE ADVANTAGE | $2,354.81 | ↓ -47% |
| AETNA | MANAGED MEDICAID | $2,434.45 | ↓ -45% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,773.91 | ↓ -38% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -20% |
| OPTUM HEALTH | MANAGED MEDICAID | $3,552.76 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $4,440.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,440.96 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,440.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,440.96 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $4,440.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,440.96 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $4,471.17 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,663.00 | ↑ +5% |
| HORIZON | OMNIA | $6,351.88 | ↑ +43% |
| INTERGROUP | ALL PRODUCTS | $6,789.30 | ↑ +53% |
| CHN | ALL PRODUCTS | $7,057.81 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $7,274.25 | ↑ +64% |
| HORIZON | PIP | $7,274.25 | ↑ +64% |
| QUALCARE | HMO | $7,712.00 | ↑ +74% |
| CIGNA | BH | $7,759.20 | ↑ +75% |
| AETNA | PPO | $7,773.00 | ↑ +75% |
| AETNA | HMO | $7,773.00 | ↑ +75% |
| AETNA | ASA | $7,773.00 | ↑ +75% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +80% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,244.15 | ↑ +86% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,244.15 | ↑ +86% |
| CIGNA | HMO | $8,357.00 | ↑ +88% |
| QUALCARE | PPO | $8,632.11 | ↑ +94% |
| QUALCARE | WORKERS COMP | $8,632.11 | ↑ +94% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,729.10 | ↑ +97% |
| CIGNA | PPO | $8,820.27 | ↑ +99% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +100% |
| HORIZON | HMO | $9,237.33 | ↑ +108% |
| HORIZON | INDEMNITY | $9,284.85 | ↑ +109% |
| HORIZON | SHP | $9,344.02 | ↑ +110% |
| HORIZON | FEDERAL | $9,458.46 | ↑ +113% |
| HORIZON | PPO | $9,458.46 | ↑ +113% |
| OXFORD | ALL PRODUCTS | $13,088.00 | ↑ +195% |
| UNITED HEALTHCARE | HMO | $15,823.00 | ↑ +256% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +278% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert eye socket implant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $546.34 – $8,461.52 |
| Community Medical Center | Toms River | $3,786.00 | $559.50 – $8,201.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $539.76 – $8,419.21 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $592.42 – $8,837.51 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,079.51 – $8,306.20 |
| Bayshore Medical Center | Holmdel | $4,173.97 | $4,173.97 – $5,008.76 |
| Ocean University Medical Center | Brick | $4,121.25 | $2,256.93 – $4,945.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,177.59 | $658.24 – $4,177.59 |