Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,908.09
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.
$2,805.00
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.
$202.85 with KARNA vs $16,802.00 with HORIZON — 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 | $202.85 | ↓ -89% |
| CLOVER | MEDICARE ADVANTAGE | $504.90 | ↓ -74% |
| OPTUM HEALTH | MANAGED MEDICAID | $617.10 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $704.06 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $802.23 | ↓ -58% |
| AETNA | MEDICARE ADVANTAGE | $830.28 | ↓ -56% |
| HORIZON | MANAGED MEDICAID | $1,388.48 | ↓ -27% |
| HORIZON | OMNIA | $1,836.99 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,908.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,908.09 | ↑ +0% |
| INTERGROUP | ALL PRODUCTS | $1,963.50 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,003.50 | ↑ +5% |
| UNITED HEALTHCARE | HMO | $2,024.09 | ↑ +6% |
| OXFORD | ALL PRODUCTS | $2,060.83 | ↑ +8% |
| HORIZON | PIP | $2,103.75 | ↑ +10% |
| BERGEN RISK | ALL PRODUCTS | $2,103.75 | ↑ +10% |
| CIGNA | BH | $2,244.00 | ↑ +18% |
| LHP HEALTH | ALL PRODUCTS | $2,300.10 | ↑ +21% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,384.25 | ↑ +25% |
| CHN | ALL PRODUCTS | $2,384.25 | ↑ +25% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,384.25 | ↑ +25% |
| QUALCARE | HMO | $2,474.01 | ↑ +30% |
| QUALCARE | WORKERS COMP | $2,474.01 | ↑ +30% |
| QUALCARE | PPO | $2,474.01 | ↑ +30% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,524.50 | ↑ +32% |
| HORIZON | HMO | $2,671.48 | ↑ +40% |
| HORIZON | INDEMNITY | $2,685.23 | ↑ +41% |
| HORIZON | SHP | $2,702.34 | ↑ +42% |
| CIGNA | PPO | $2,713.84 | ↑ +42% |
| CIGNA | HMO | $2,713.84 | ↑ +42% |
| HORIZON | PPO | $2,735.44 | ↑ +43% |
| HORIZON | FEDERAL | $2,735.44 | ↑ +43% |
| AETNA | PPO | $7,773.00 | ↑ +307% |
| AETNA | ASA | $7,773.00 | ↑ +307% |
| AETNA | HMO | $7,773.00 | ↑ +307% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +320% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +367% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +781% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $124.38 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,817.78 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $1,770.73 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,817.78 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $128.04 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $160.96 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,793.38 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |