healthcosts.net
Knee X-ray at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$125.23
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.
$726.00
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.
$36.80 with HORIZON vs $708.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $36.80 | ↓ -71% |
| AMERIHEALTH | LOCAL HMO | $69.79 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $69.79 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $91.83 | ↓ -27% |
| AETNA | PPO | $98.10 | ↓ -22% |
| AETNA | ASA | $98.10 | ↓ -22% |
| AETNA | HMO | $98.10 | ↓ -22% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| CIGNA | PPO | $123.25 | ↓ -2% |
| CIGNA | HMO | $123.25 | ↓ -2% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $127.14 | ↑ +2% |
| CLOVER | MEDICARE ADVANTAGE | $130.68 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $182.23 | ↑ +46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $207.64 | ↑ +66% |
| UNITED HEALTHCARE | HMO | $336.99 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $363.00 | ↑ +190% |
| HORIZON | OMNIA | $475.46 | ↑ +280% |
| HORIZON | WORKERS COMP | $499.92 | ↑ +299% |
| INTERGROUP | ALL PRODUCTS | $508.20 | ↑ +306% |
| HORIZON | PIP | $544.50 | ↑ +335% |
| BERGEN RISK | ALL PRODUCTS | $544.50 | ↑ +335% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $573.54 | ↑ +358% |
| LHP HEALTH | ALL PRODUCTS | $573.54 | ↑ +358% |
| CIGNA | BH | $580.80 | ↑ +364% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $617.10 | ↑ +393% |
| CHN | ALL PRODUCTS | $617.10 | ↑ +393% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $617.10 | ↑ +393% |
| QUALCARE | HMO | $640.33 | ↑ +411% |
| QUALCARE | WORKERS COMP | $640.33 | ↑ +411% |
| QUALCARE | PPO | $640.33 | ↑ +411% |
| HORIZON | HMO | $691.44 | ↑ +452% |
| HORIZON | INDEMNITY | $695.00 | ↑ +455% |
| HORIZON | SHP | $699.43 | ↑ +459% |
| HORIZON | FEDERAL | $708.00 | ↑ +465% |
| HORIZON | PPO | $708.00 | ↑ +465% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Knee X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $323.60 | $117.31 – $117.31 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $687.65 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $647.20 |