Lung function test (mbc/mvv) 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.
$273.00
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.
$26.92 with KARNA vs $5,456.00 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 | $26.92 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $49.14 | ↓ -30% |
| OPTUM HEALTH | MANAGED MEDICAID | $55.96 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $68.52 | ↓ -2% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $69.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $69.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.08 | ↑ +12% |
| HORIZON | MANAGED MEDICAID | $135.14 | ↑ +93% |
| HORIZON | OMNIA | $178.79 | ↑ +156% |
| HORIZON | WORKERS COMP | $187.99 | ↑ +169% |
| INTERGROUP | ALL PRODUCTS | $191.10 | ↑ +173% |
| HORIZON | PIP | $204.75 | ↑ +193% |
| BERGEN RISK | ALL PRODUCTS | $204.75 | ↑ +193% |
| LHP HEALTH | ALL PRODUCTS | $215.67 | ↑ +208% |
| CIGNA | BH | $218.40 | ↑ +212% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $232.05 | ↑ +232% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $232.05 | ↑ +232% |
| CHN | ALL PRODUCTS | $232.05 | ↑ +232% |
| QUALCARE | HMO | $240.79 | ↑ +244% |
| QUALCARE | PPO | $240.79 | ↑ +244% |
| QUALCARE | WORKERS COMP | $240.79 | ↑ +244% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $245.70 | ↑ +251% |
| AETNA | ASA | $259.90 | ↑ +272% |
| AETNA | PPO | $259.90 | ↑ +272% |
| AETNA | HMO | $259.90 | ↑ +272% |
| HORIZON | HMO | $260.01 | ↑ +272% |
| HORIZON | INDEMNITY | $261.34 | ↑ +274% |
| HORIZON | SHP | $263.01 | ↑ +276% |
| CIGNA | HMO | $264.13 | ↑ +278% |
| CIGNA | PPO | $264.13 | ↑ +278% |
| HORIZON | PPO | $266.23 | ↑ +281% |
| HORIZON | FEDERAL | $266.23 | ↑ +281% |
| AMERIHEALTH | LOCAL HMO | $273.00 | ↑ +290% |
| AMERIHEALTH | REGIONAL HMO | $273.00 | ↑ +290% |
| OXFORD | ALL PRODUCTS | $5,390.00 | ↑ +7606% |
| UNITED HEALTHCARE | HMO | $5,456.00 | ↑ +7700% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $55.72 | $66.64 – $133.28 |
| Community Medical Center | Toms River | $54.54 | $64.92 – $129.19 |
| Clara Maass Medical Center | Belleville | $51.91 | $66.64 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $54.78 | $8.06 – $133.28 |
| Jersey City Medical Center | Jersey City | $54.65 | $10.14 – $139.20 |
| Monmouth Medical Center | Long Branch | $57.54 | $65.75 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $910.00 |
| Ocean University Medical Center | Brick | $64.92 | $25.60 – $389.00 |