Ligation/biopsy of temporal artery 37609 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,908.09
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.
$3,018.00
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.
$434.73 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $434.73 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $543.24 | ↓ -72% |
| OPTUM HEALTH | MANAGED MEDICAID | $663.96 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $757.52 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $863.15 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $893.33 | ↓ -53% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,908.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,908.09 | ↑ +0% |
| HORIZON | OMNIA | $1,976.49 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,003.50 | ↑ +5% |
| INTERGROUP | ALL PRODUCTS | $2,112.60 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $2,263.50 | ↑ +19% |
| HORIZON | PIP | $2,263.50 | ↑ +19% |
| CIGNA | BH | $2,414.40 | ↑ +27% |
| LHP HEALTH | ALL PRODUCTS | $2,474.76 | ↑ +30% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,565.30 | ↑ +34% |
| CHN | ALL PRODUCTS | $2,565.30 | ↑ +34% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,565.30 | ↑ +34% |
| QUALCARE | PPO | $2,686.02 | ↑ +41% |
| QUALCARE | WORKERS COMP | $2,686.02 | ↑ +41% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,716.20 | ↑ +42% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +43% |
| CIGNA | HMO | $2,744.57 | ↑ +44% |
| CIGNA | PPO | $2,744.57 | ↑ +44% |
| HORIZON | HMO | $2,874.34 | ↑ +51% |
| HORIZON | INDEMNITY | $2,889.13 | ↑ +51% |
| HORIZON | SHP | $2,907.54 | ↑ +52% |
| HORIZON | FEDERAL | $2,943.15 | ↑ +54% |
| HORIZON | PPO | $2,943.15 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $7,146.00 | ↑ +275% |
| QUALCARE | HMO | $7,712.00 | ↑ +304% |
| AETNA | ASA | $7,773.00 | ↑ +307% |
| AETNA | PPO | $7,773.00 | ↑ +307% |
| AETNA | HMO | $7,773.00 | ↑ +307% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +320% |
| UNITED HEALTHCARE | HMO | $8,568.00 | ↑ +349% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +367% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +781% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $160.23 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $119.52 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $122.40 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $118.08 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $164.94 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $129.60 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $236.16 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |