Peritoneogram rs&i at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$645.71
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.
$1,301.00
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.
$78.80 with HORIZON vs $1,493.34 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $78.80 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $234.18 | ↓ -64% |
| KARNA | MEDICARE ADVANTAGE | $262.52 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $326.55 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $372.09 | ↓ -42% |
| OPTUM HEALTH | MANAGED MEDICAID | $516.57 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $637.97 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $645.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $645.71 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $650.50 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $678.00 | ↑ +5% |
| HORIZON | OMNIA | $852.02 | ↑ +32% |
| HORIZON | WORKERS COMP | $895.87 | ↑ +39% |
| INTERGROUP | ALL PRODUCTS | $910.70 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $975.75 | ↑ +51% |
| HORIZON | PIP | $975.75 | ↑ +51% |
| LHP HEALTH | ALL PRODUCTS | $1,027.79 | ↑ +59% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,027.79 | ↑ +59% |
| CIGNA | BH | $1,040.80 | ↑ +61% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,105.85 | ↑ +71% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,105.85 | ↑ +71% |
| CHN | ALL PRODUCTS | $1,105.85 | ↑ +71% |
| QUALCARE | PPO | $1,147.48 | ↑ +78% |
| QUALCARE | HMO | $1,147.48 | ↑ +78% |
| QUALCARE | WORKERS COMP | $1,147.48 | ↑ +78% |
| AETNA | ASA | $1,238.55 | ↑ +92% |
| AETNA | PPO | $1,238.55 | ↑ +92% |
| AETNA | HMO | $1,238.55 | ↑ +92% |
| HORIZON | HMO | $1,239.07 | ↑ +92% |
| HORIZON | INDEMNITY | $1,245.45 | ↑ +93% |
| HORIZON | SHP | $1,253.38 | ↑ +94% |
| CIGNA | HMO | $1,258.72 | ↑ +95% |
| CIGNA | PPO | $1,258.72 | ↑ +95% |
| HORIZON | PPO | $1,268.74 | ↑ +96% |
| HORIZON | FEDERAL | $1,268.74 | ↑ +96% |
| AMERIHEALTH | REGIONAL HMO | $1,301.00 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $1,301.00 | ↑ +101% |
| UNITED HEALTHCARE | HMO | $1,493.34 | ↑ +131% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Peritoneogram rs&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $446.72 | $54.06 – $1,198.46 |
| Community Medical Center | Toms River | $493.61 | $86.92 – $1,192.47 |
| Newark Beth Israel Medical Center | Newark | $380.98 | $55.65 – $1,230.30 |
| Monmouth Medical Center | Long Branch | $520.74 | $86.92 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $98.19 – $1,307.42 |
| Ocean University Medical Center | Brick | $599.23 | $98.19 – $599.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $262.52 – $1,384.69 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $98.19 – $661.51 |