Insert uro/ves nck sphincter at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$23,704.60
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.
$23,106.00
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.
$1,607.59 with KARNA vs $33,738.00 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 | $1,607.59 | ↓ -93% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -88% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $4,159.08 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $5,799.61 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,608.32 | ↓ -72% |
| CHN | ALL PRODUCTS | $7,057.81 | ↓ -70% |
| QUALCARE | HMO | $7,712.00 | ↓ -67% |
| AETNA | ASA | $7,773.00 | ↓ -67% |
| AETNA | PPO | $7,773.00 | ↓ -67% |
| AETNA | HMO | $7,773.00 | ↓ -67% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↓ -66% |
| CIGNA | HMO | $8,357.00 | ↓ -65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,539.00 | ↓ -64% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↓ -62% |
| CIGNA | PPO | $10,049.00 | ↓ -58% |
| HORIZON | OMNIA | $12,826.00 | ↓ -46% |
| QUALCARE | WORKERS COMP | $14,850.00 | ↓ -37% |
| QUALCARE | PPO | $14,850.00 | ↓ -37% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -34% |
| HORIZON | SHP | $15,733.00 | ↓ -34% |
| INTERGROUP | ALL PRODUCTS | $16,174.20 | ↓ -32% |
| HORIZON | WORKERS COMP | $16,802.00 | ↓ -29% |
| HORIZON | PIP | $17,329.50 | ↓ -27% |
| CIGNA | BH | $18,484.80 | ↓ -22% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $18,486.00 | ↓ -22% |
| HORIZON | INDEMNITY | $18,625.00 | ↓ -21% |
| HORIZON | HMO | $18,666.00 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $18,963.68 | ↓ -20% |
| HORIZON | FEDERAL | $18,964.00 | ↓ -20% |
| HORIZON | PPO | $18,964.00 | ↓ -20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,640.10 | ↓ -17% |
| AETNA | MEDICARE ADVANTAGE | $23,327.09 | ↓ -2% |
| VACCN | ALL PRODUCTS | $23,704.60 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $23,704.60 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $23,704.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $23,704.60 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $23,704.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $23,704.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $24,889.83 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $27,761.00 | ↑ +17% |
| UNITED HEALTHCARE | HMO | $33,738.00 | ↑ +42% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert uro/ves nck sphincter at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $383.47 – $43,996.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $756.96 – $45,165.26 |
| Community Medical Center | Toms River | $3,786.00 | $775.20 – $43,776.22 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $747.84 – $44,939.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $394.75 – $45,165.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $496.25 – $47,172.15 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,495.68 – $44,336.21 |
| Bayshore Medical Center | Holmdel | $22,279.50 | $22,279.50 – $26,735.40 |