Limited visual field xm at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$69.95
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.
$233.00
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.
$41.94 with CLOVER vs $18,693.00 with AETNA — 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 | $41.94 | ↓ -40% |
| OPTUM HEALTH | MANAGED MEDICAID | $55.96 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $58.48 | ↓ -16% |
| KARNA | MEDICARE ADVANTAGE | $58.93 | ↓ -16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $66.64 | ↓ -5% |
| HORIZON | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $69.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $69.95 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $70.74 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $73.45 | ↑ +5% |
| HORIZON | OMNIA | $152.59 | ↑ +118% |
| INTERGROUP | ALL PRODUCTS | $163.10 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $168.13 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $171.19 | ↑ +145% |
| BERGEN RISK | ALL PRODUCTS | $174.75 | ↑ +150% |
| HORIZON | PIP | $174.75 | ↑ +150% |
| CIGNA | BH | $186.40 | ↑ +166% |
| LHP HEALTH | ALL PRODUCTS | $191.06 | ↑ +173% |
| CHN | ALL PRODUCTS | $198.05 | ↑ +183% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $198.05 | ↑ +183% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $198.05 | ↑ +183% |
| QUALCARE | WORKERS COMP | $207.37 | ↑ +196% |
| QUALCARE | PPO | $207.37 | ↑ +196% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $209.70 | ↑ +200% |
| CIGNA | PPO | $211.89 | ↑ +203% |
| CIGNA | HMO | $211.89 | ↑ +203% |
| HORIZON | HMO | $221.91 | ↑ +217% |
| HORIZON | INDEMNITY | $223.05 | ↑ +219% |
| HORIZON | SHP | $224.47 | ↑ +221% |
| HORIZON | PPO | $227.22 | ↑ +225% |
| HORIZON | FEDERAL | $227.22 | ↑ +225% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +3800% |
| QUALCARE | HMO | $7,712.00 | ↑ +10925% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +11355% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +12629% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +23920% |
| AETNA | PPO | $18,693.00 | ↑ +26623% |
| AETNA | HMO | $18,693.00 | ↑ +26623% |
| AETNA | ASA | $18,693.00 | ↑ +26623% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Limited visual field xm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $78.90 |
| Ocean University Medical Center | Brick | $64.92 | $56.30 – $77.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $58.93 – $65.80 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $56.30 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $58.93 – $76.25 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $58.93 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $56.30 – $78.90 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $56.30 – $77.90 |