Ndl insj without njx 3+ musc at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$28.84
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.
$86.00
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.
$15.48 with CLOVER vs $7,773.00 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 | $15.48 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $21.59 | ↓ -25% |
| OPTUM HEALTH | MANAGED MEDICAID | $23.07 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.60 | ↓ -15% |
| WELLCARE | MANAGED MEDICAID | $28.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $28.84 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $30.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $34.43 | ↑ +19% |
| KARNA | MEDICARE ADVANTAGE | $46.35 | ↑ +61% |
| HORIZON | MANAGED MEDICAID | $54.05 | ↑ +87% |
| HORIZON | OMNIA | $56.32 | ↑ +95% |
| HORIZON | WORKERS COMP | $59.22 | ↑ +105% |
| INTERGROUP | ALL PRODUCTS | $60.20 | ↑ +109% |
| HORIZON | PIP | $64.50 | ↑ +124% |
| LHP HEALTH | ALL PRODUCTS | $67.94 | ↑ +136% |
| CIGNA | BH | $68.80 | ↑ +139% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $73.10 | ↑ +153% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $73.10 | ↑ +153% |
| CHN | ALL PRODUCTS | $73.10 | ↑ +153% |
| QUALCARE | HMO | $75.85 | ↑ +163% |
| QUALCARE | PPO | $75.85 | ↑ +163% |
| QUALCARE | WORKERS COMP | $75.85 | ↑ +163% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $77.40 | ↑ +168% |
| HORIZON | HMO | $81.91 | ↑ +184% |
| HORIZON | INDEMNITY | $82.33 | ↑ +185% |
| HORIZON | SHP | $82.85 | ↑ +187% |
| HORIZON | FEDERAL | $83.87 | ↑ +191% |
| HORIZON | PPO | $83.87 | ↑ +191% |
| AMERIHEALTH | LOCAL HMO | $86.00 | ↑ +198% |
| AMERIHEALTH | REGIONAL HMO | $86.00 | ↑ +198% |
| CIGNA | PPO | $238.00 | ↑ +725% |
| CIGNA | HMO | $238.00 | ↑ +725% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +909% |
| OXFORD | ALL PRODUCTS | $346.00 | ↑ +1100% |
| UNITED HEALTHCARE | HMO | $406.00 | ↑ +1308% |
| AETNA | PPO | $7,773.00 | ↑ +26852% |
| AETNA | HMO | $7,773.00 | ↑ +26852% |
| AETNA | ASA | $7,773.00 | ↑ +26852% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ndl insj without njx 3+ musc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $447.00 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $561.00 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $725.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $471.00 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $464.00 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $563.00 |