Ph1 assmt&mgmt nqhp 5-10 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$15.47
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.
$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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.38 with OPTUM HEALTH vs $428.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $12.38 | ↓ -20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $15.47 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $15.47 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15.47 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $16.24 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $19.19 | ↑ +24% |
| CLOVER | MEDICARE ADVANTAGE | $77.04 | ↑ +398% |
| AETNA | MANAGED MEDICAID | $107.43 | ↑ +594% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $122.41 | ↑ +691% |
| HORIZON | MANAGED MEDICAID | $211.86 | ↑ +1269% |
| HORIZON | OMNIA | $280.30 | ↑ +1712% |
| HORIZON | WORKERS COMP | $294.72 | ↑ +1805% |
| INTERGROUP | ALL PRODUCTS | $299.60 | ↑ +1837% |
| UNITED HEALTHCARE | HMO | $308.84 | ↑ +1896% |
| OXFORD | ALL PRODUCTS | $314.45 | ↑ +1933% |
| BERGEN RISK | ALL PRODUCTS | $321.00 | ↑ +1975% |
| HORIZON | PIP | $321.00 | ↑ +1975% |
| LHP HEALTH | ALL PRODUCTS | $338.12 | ↑ +2086% |
| CIGNA | BH | $342.40 | ↑ +2113% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $363.80 | ↑ +2252% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $363.80 | ↑ +2252% |
| CHN | ALL PRODUCTS | $363.80 | ↑ +2252% |
| QUALCARE | PPO | $377.50 | ↑ +2340% |
| QUALCARE | WORKERS COMP | $377.50 | ↑ +2340% |
| QUALCARE | HMO | $377.50 | ↑ +2340% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $385.20 | ↑ +2390% |
| AETNA | ASA | $407.46 | ↑ +2534% |
| AETNA | PPO | $407.46 | ↑ +2534% |
| AETNA | HMO | $407.46 | ↑ +2534% |
| HORIZON | HMO | $407.63 | ↑ +2535% |
| HORIZON | INDEMNITY | $409.72 | ↑ +2548% |
| HORIZON | SHP | $412.34 | ↑ +2565% |
| CIGNA | PPO | $414.09 | ↑ +2577% |
| CIGNA | HMO | $414.09 | ↑ +2577% |
| HORIZON | FEDERAL | $417.39 | ↑ +2598% |
| HORIZON | PPO | $417.39 | ↑ +2598% |
| AMERIHEALTH | REGIONAL HMO | $428.00 | ↑ +2667% |
| AMERIHEALTH | LOCAL HMO | $428.00 | ↑ +2667% |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 5-10 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $15.47 | $15.47 – $18.56 |
| Ocean University Medical Center | Brick | $15.47 | $15.47 – $18.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $15.47 | $15.47 – $19.19 |
| Jersey Shore University Medical Center | Neptune City | $15.47 | $12.38 – $18.65 |
| Palisades Medical Center | North Bergen | $15.47 | $15.47 – $19.19 |
| Raritan Bay Medical Center | Perth Amboy | $15.47 | $15.47 – $19.19 |
| Riverview Medical Center | Red Bank | $15.47 | $15.47 – $18.65 |
| Southern Ocean Medical Center | Manahawkin | $15.47 | $15.47 – $18.65 |