Mitomycin instillation at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$317.42
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.
$1,082.16
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.
$194.79 with CLOVER vs $973.94 with BRIGHTON HEALTH PLAN — 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 | $194.79 | ↓ -39% |
| OPTUM HEALTH | MANAGED MEDICAID | $254.82 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $306.66 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $317.42 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $317.42 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $317.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $317.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $333.29 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $354.19 | ↑ +12% |
| CIGNA | HMO | $366.85 | ↑ +16% |
| CIGNA | PPO | $366.85 | ↑ +16% |
| AMERIHEALTH | REGIONAL HMO | $393.47 | ↑ +24% |
| KARNA | MEDICARE ADVANTAGE | $399.99 | ↑ +26% |
| HORIZON | MANAGED MEDICAID | $401.26 | ↑ +26% |
| AETNA | PPO | $463.16 | ↑ +46% |
| AETNA | ASA | $463.16 | ↑ +46% |
| AETNA | HMO | $463.16 | ↑ +46% |
| WELLCARE | MANAGED MEDICAID | $486.97 | ↑ +53% |
| WELLCARE | MEDICARE ADVANTAGE | $486.97 | ↑ +53% |
| AETNA | MANAGED MEDICAID | $530.26 | ↑ +67% |
| AMERIGROUP | MANAGED MEDICAID | $541.08 | ↑ +70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $541.08 | ↑ +70% |
| LHP HEALTH | ALL PRODUCTS | $562.72 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $611.42 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $611.42 | ↑ +93% |
| BERGEN RISK | ALL PRODUCTS | $649.30 | ↑ +105% |
| HORIZON | OMNIA | $651.35 | ↑ +105% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $703.40 | ↑ +122% |
| CHN | ALL PRODUCTS | $703.40 | ↑ +122% |
| HORIZON | WORKERS COMP | $745.18 | ↑ +135% |
| INTERGROUP | ALL PRODUCTS | $757.51 | ↑ +139% |
| HORIZON | PIP | $811.62 | ↑ +156% |
| CIGNA | BH | $865.73 | ↑ +173% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $919.84 | ↑ +190% |
| HORIZON | HMO | $947.21 | ↑ +198% |
| HORIZON | INDEMNITY | $952.19 | ↑ +200% |
| QUALCARE | PPO | $954.47 | ↑ +201% |
| QUALCARE | HMO | $954.47 | ↑ +201% |
| QUALCARE | WORKERS COMP | $954.47 | ↑ +201% |
| HORIZON | SHP | $957.93 | ↑ +202% |
| HORIZON | FEDERAL | $969.94 | ↑ +206% |
| HORIZON | PPO | $969.94 | ↑ +206% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $973.94 | ↑ +207% |
Visitor-reported prices
Comments
Mitomycin instillation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $269.82 – $677.16 |
| Cooperman Barnabas Medical Center | Livingston | not published | $278.57 – $698.64 |
| Community Medical Center | Toms River | not published | $278.57 – $677.16 |
| Clara Maass Medical Center | Belleville | not published | $278.57 – $695.15 |
| Newark Beth Israel Medical Center | Newark | not published | $278.57 – $695.15 |
| Jersey City Medical Center | Jersey City | not published | $278.57 – $729.69 |
| Monmouth Medical Center | Long Branch | not published | $278.57 – $685.81 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $278.57 – $677.16 |