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Lumbar Spinal Fusion (single level) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$21,657.23
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.
$30,109.00
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.
$2,728.00 with HORIZON vs $29,297.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -87% |
| KARNA | MEDICARE ADVANTAGE | $3,386.91 | ↓ -84% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $5,419.62 | ↓ -75% |
| CHN | ALL PRODUCTS | $7,057.81 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $7,557.36 | ↓ -65% |
| QUALCARE | HMO | $7,712.00 | ↓ -64% |
| AETNA | PPO | $7,773.00 | ↓ -64% |
| AETNA | ASA | $7,773.00 | ↓ -64% |
| AETNA | HMO | $7,773.00 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↓ -63% |
| CIGNA | HMO | $8,357.00 | ↓ -61% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,539.00 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $8,611.17 | ↓ -60% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↓ -59% |
| CIGNA | PPO | $10,049.00 | ↓ -54% |
| HORIZON | OMNIA | $12,826.00 | ↓ -41% |
| QUALCARE | WORKERS COMP | $14,850.00 | ↓ -31% |
| QUALCARE | PPO | $14,850.00 | ↓ -31% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -28% |
| HORIZON | SHP | $15,733.00 | ↓ -27% |
| HORIZON | WORKERS COMP | $16,802.00 | ↓ -22% |
| OPTUM HEALTH | MANAGED MEDICAID | $17,325.78 | ↓ -20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $18,486.00 | ↓ -15% |
| HORIZON | INDEMNITY | $18,625.00 | ↓ -14% |
| HORIZON | HMO | $18,666.00 | ↓ -14% |
| HORIZON | FEDERAL | $18,964.00 | ↓ -12% |
| HORIZON | PPO | $18,964.00 | ↓ -12% |
| INTERGROUP | ALL PRODUCTS | $21,076.30 | ↓ -3% |
| AETNA | MEDICARE ADVANTAGE | $21,551.15 | ↓ -0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $21,657.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $21,657.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $21,657.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $21,657.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $21,657.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21,657.23 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $21,696.00 | ↑ +0% |
| HORIZON | PIP | $22,581.75 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22,740.09 | ↑ +5% |
| CIGNA | BH | $24,087.20 | ↑ +11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $25,592.65 | ↑ +18% |
| UNITED HEALTHCARE | HMO | $29,297.00 | ↑ +35% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $20,355.21 | $3,950.27 – $24,426.25 |
| Ocean University Medical Center | Brick | $20,098.12 | $3,295.05 – $24,117.74 |