Phenytoin total therapeutic drug level at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$13.25
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.
$166.00
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.
$10.60 with OPTUM HEALTH vs $181.62 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $10.60 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.25 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.25 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.25 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.91 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $16.56 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $17.62 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $28.25 | ↑ +113% |
| AETNA | MANAGED MEDICAID | $41.67 | ↑ +214% |
| CIGNA | PPO | $59.50 | ↑ +349% |
| CIGNA | HMO | $59.50 | ↑ +349% |
| OXFORD | ALL PRODUCTS | $83.00 | ↑ +526% |
| UNITED HEALTHCARE | HMO | $93.79 | ↑ +608% |
| HORIZON | OMNIA | $108.71 | ↑ +720% |
| HORIZON | WORKERS COMP | $114.31 | ↑ +763% |
| INTERGROUP | ALL PRODUCTS | $116.20 | ↑ +777% |
| HORIZON | PIP | $124.50 | ↑ +840% |
| BERGEN RISK | ALL PRODUCTS | $124.50 | ↑ +840% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $131.14 | ↑ +890% |
| CIGNA | BH | $132.80 | ↑ +902% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $141.10 | ↑ +965% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $141.10 | ↑ +965% |
| CHN | ALL PRODUCTS | $141.10 | ↑ +965% |
| QUALCARE | WORKERS COMP | $146.41 | ↑ +1005% |
| QUALCARE | HMO | $146.41 | ↑ +1005% |
| QUALCARE | PPO | $146.41 | ↑ +1005% |
| HORIZON | HMO | $158.10 | ↑ +1093% |
| HORIZON | INDEMNITY | $158.91 | ↑ +1099% |
| HORIZON | SHP | $159.92 | ↑ +1107% |
| HORIZON | FEDERAL | $161.88 | ↑ +1122% |
| HORIZON | PPO | $161.88 | ↑ +1122% |
| AMERIHEALTH | REGIONAL HMO | $166.00 | ↑ +1153% |
| AMERIHEALTH | LOCAL HMO | $166.00 | ↑ +1153% |
| AETNA | PPO | $181.62 | ↑ +1271% |
| AETNA | ASA | $181.62 | ↑ +1271% |
| AETNA | HMO | $181.62 | ↑ +1271% |
Visitor-reported prices
Comments
Phenytoin total therapeutic drug level at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $14.58 | $6.23 – $61.78 |
| Cooperman Barnabas Medical Center | Livingston | $14.58 | $6.23 – $53.41 |
| Community Medical Center | Toms River | $14.58 | $6.23 – $53.41 |
| Clara Maass Medical Center | Belleville | $14.58 | $6.23 – $53.41 |
| Childrens Specialized Hospital | Mountainside | $79.50 | $10.60 – $10.92 |
| Newark Beth Israel Medical Center | Newark | $14.58 | $6.23 – $53.41 |
| Jersey City Medical Center | Jersey City | $14.58 | $6.23 – $53.41 |
| Monmouth Medical Center | Long Branch | $14.58 | $6.23 – $53.41 |