Oth resp proc, indiv 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.
$182.00
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.
$19.70 with KARNA vs $794.00 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 | $19.70 | ↓ -32% |
| OPTUM HEALTH | MANAGED MEDICAID | $23.07 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $28.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $28.84 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $30.28 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $32.76 | ↑ +14% |
| AETNA | MEDICARE ADVANTAGE | $34.43 | ↑ +19% |
| AETNA | MANAGED MEDICAID | $45.68 | ↑ +58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $52.05 | ↑ +80% |
| HORIZON | MANAGED MEDICAID | $90.09 | ↑ +212% |
| HORIZON | OMNIA | $119.19 | ↑ +313% |
| HORIZON | WORKERS COMP | $125.33 | ↑ +335% |
| INTERGROUP | ALL PRODUCTS | $127.40 | ↑ +342% |
| HORIZON | PIP | $136.50 | ↑ +373% |
| BERGEN RISK | ALL PRODUCTS | $136.50 | ↑ +373% |
| LHP HEALTH | ALL PRODUCTS | $143.78 | ↑ +399% |
| CIGNA | BH | $145.60 | ↑ +405% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $154.70 | ↑ +436% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $154.70 | ↑ +436% |
| CHN | ALL PRODUCTS | $154.70 | ↑ +436% |
| QUALCARE | HMO | $160.52 | ↑ +457% |
| QUALCARE | PPO | $160.52 | ↑ +457% |
| QUALCARE | WORKERS COMP | $160.52 | ↑ +457% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $163.80 | ↑ +468% |
| AETNA | ASA | $173.26 | ↑ +501% |
| AETNA | PPO | $173.26 | ↑ +501% |
| AETNA | HMO | $173.26 | ↑ +501% |
| HORIZON | HMO | $173.34 | ↑ +501% |
| HORIZON | INDEMNITY | $174.23 | ↑ +504% |
| HORIZON | SHP | $175.34 | ↑ +508% |
| CIGNA | HMO | $176.09 | ↑ +511% |
| CIGNA | PPO | $176.09 | ↑ +511% |
| HORIZON | PPO | $177.49 | ↑ +515% |
| HORIZON | FEDERAL | $177.49 | ↑ +515% |
| AMERIHEALTH | LOCAL HMO | $182.00 | ↑ +531% |
| AMERIHEALTH | REGIONAL HMO | $182.00 | ↑ +531% |
| OXFORD | ALL PRODUCTS | $566.00 | ↑ +1863% |
| UNITED HEALTHCARE | HMO | $794.00 | ↑ +2653% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, indiv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $47.46 | $27.48 – $54.96 |
| Clara Maass Medical Center | Belleville | $20.48 | $27.48 – $54.69 |
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $770.00 |
| Ocean University Medical Center | Brick | $26.76 | $18.64 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $16.44 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $18.64 – $604.00 |
| Palisades Medical Center | North Bergen | $28.84 | $16.19 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $19.70 – $396.00 |