Muscle test hemidiaphragm at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$184.26
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.
$428.00
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.
$77.04 with CLOVER vs $4,692.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $77.04 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $107.43 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $122.41 | ↓ -34% |
| OPTUM HEALTH | MANAGED MEDICAID | $147.41 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $180.64 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $184.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $184.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $184.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $193.47 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $211.86 | ↑ +15% |
| KARNA | MEDICARE ADVANTAGE | $215.55 | ↑ +17% |
| HORIZON | OMNIA | $280.30 | ↑ +52% |
| HORIZON | WORKERS COMP | $294.72 | ↑ +60% |
| INTERGROUP | ALL PRODUCTS | $299.60 | ↑ +63% |
| HORIZON | PIP | $321.00 | ↑ +74% |
| BERGEN RISK | ALL PRODUCTS | $321.00 | ↑ +74% |
| LHP HEALTH | ALL PRODUCTS | $338.12 | ↑ +84% |
| CIGNA | BH | $342.40 | ↑ +86% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $363.80 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $363.80 | ↑ +97% |
| CHN | ALL PRODUCTS | $363.80 | ↑ +97% |
| QUALCARE | HMO | $377.50 | ↑ +105% |
| QUALCARE | PPO | $377.50 | ↑ +105% |
| QUALCARE | WORKERS COMP | $377.50 | ↑ +105% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $385.20 | ↑ +109% |
| AETNA | ASA | $407.46 | ↑ +121% |
| AETNA | PPO | $407.46 | ↑ +121% |
| AETNA | HMO | $407.46 | ↑ +121% |
| HORIZON | HMO | $407.63 | ↑ +121% |
| HORIZON | INDEMNITY | $409.72 | ↑ +122% |
| HORIZON | SHP | $412.34 | ↑ +124% |
| CIGNA | HMO | $414.09 | ↑ +125% |
| CIGNA | PPO | $414.09 | ↑ +125% |
| HORIZON | PPO | $417.39 | ↑ +127% |
| HORIZON | FEDERAL | $417.39 | ↑ +127% |
| AMERIHEALTH | LOCAL HMO | $428.00 | ↑ +132% |
| AMERIHEALTH | REGIONAL HMO | $428.00 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $1,562.00 | ↑ +748% |
| UNITED HEALTHCARE | HMO | $4,692.00 | ↑ +2446% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Muscle test hemidiaphragm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $978.00 |
| Ocean University Medical Center | Brick | $170.99 | $104.00 – $872.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $66.54 – $4,008.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $1,032.00 |
| Palisades Medical Center | North Bergen | $184.26 | $65.54 – $1,301.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $83.18 – $1,225.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $992.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $1,041.00 |