Nm imaging hepatobiliary system w/pharmacologic intervention at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$633.90
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.
?
What you pay up front if you don't use insurance.
$2,970.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$299.03 with HORIZON vs $2,896.34 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $299.03 | ↓ -53% |
| AMERIHEALTH | LOCAL HMO | $354.94 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $354.94 | ↓ -44% |
| OPTUM HEALTH | MANAGED MEDICAID | $507.12 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $534.60 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $625.05 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $633.90 | ↑ +0% |
| VACCN | ALL PRODUCTS | $633.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $665.59 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $745.47 | ↑ +18% |
| KARNA | MEDICARE ADVANTAGE | $778.38 | ↑ +23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $849.42 | ↑ +34% |
| CIGNA | HMO | $1,416.07 | ↑ +123% |
| CIGNA | PPO | $1,416.07 | ↑ +123% |
| AETNA | ASA | $1,455.90 | ↑ +130% |
| AETNA | PPO | $1,455.90 | ↑ +130% |
| AETNA | HMO | $1,455.90 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $1,513.47 | ↑ +139% |
| OXFORD | ALL PRODUCTS | $1,513.47 | ↑ +139% |
| HORIZON | OMNIA | $1,945.05 | ↑ +207% |
| HORIZON | WORKERS COMP | $2,045.14 | ↑ +223% |
| INTERGROUP | ALL PRODUCTS | $2,079.00 | ↑ +228% |
| BERGEN RISK | ALL PRODUCTS | $2,227.50 | ↑ +251% |
| HORIZON | PIP | $2,227.50 | ↑ +251% |
| LHP HEALTH | ALL PRODUCTS | $2,346.30 | ↑ +270% |
| CIGNA | BH | $2,376.00 | ↑ +275% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,524.50 | ↑ +298% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,524.50 | ↑ +298% |
| CHN | ALL PRODUCTS | $2,524.50 | ↑ +298% |
| QUALCARE | HMO | $2,619.54 | ↑ +313% |
| QUALCARE | PPO | $2,619.54 | ↑ +313% |
| QUALCARE | WORKERS COMP | $2,619.54 | ↑ +313% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,673.00 | ↑ +322% |
| HORIZON | HMO | $2,828.63 | ↑ +346% |
| HORIZON | INDEMNITY | $2,843.18 | ↑ +349% |
| HORIZON | SHP | $2,861.30 | ↑ +351% |
| HORIZON | FEDERAL | $2,896.34 | ↑ +357% |
| HORIZON | PPO | $2,896.34 | ↑ +357% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $699.55 | $208.53 – $1,857.03 |
| Cooperman Barnabas Medical Center | Livingston | $495.84 | $248.94 – $1,857.03 |
| Community Medical Center | Toms River | $772.97 | $248.94 – $1,857.03 |
| Clara Maass Medical Center | Belleville | $563.08 | $249.42 – $1,857.03 |
| Newark Beth Israel Medical Center | Newark | $487.42 | $214.66 – $1,857.03 |
| Jersey City Medical Center | Jersey City | $774.47 | $248.94 – $1,857.03 |
| Monmouth Medical Center | Long Branch | $815.46 | $248.94 – $1,857.03 |
| Bayshore Medical Center | Holmdel | $595.79 | $354.06 – $1,445.04 |