Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$151.77
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.
$342.00
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.
$61.56 with CLOVER vs $342.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $61.56 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $85.84 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $97.81 | ↓ -36% |
| OPTUM HEALTH | MANAGED MEDICAID | $121.41 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $151.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $151.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $151.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $151.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $151.77 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $151.77 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $152.87 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $159.35 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $169.29 | ↑ +12% |
| HORIZON | OMNIA | $223.98 | ↑ +48% |
| KARNA | MEDICARE ADVANTAGE | $232.25 | ↑ +53% |
| HORIZON | WORKERS COMP | $235.50 | ↑ +55% |
| INTERGROUP | ALL PRODUCTS | $239.40 | ↑ +58% |
| UNITED HEALTHCARE | HMO | $246.79 | ↑ +63% |
| OXFORD | ALL PRODUCTS | $251.27 | ↑ +66% |
| HORIZON | PIP | $256.50 | ↑ +69% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +69% |
| LHP HEALTH | ALL PRODUCTS | $270.18 | ↑ +78% |
| CIGNA | BH | $273.60 | ↑ +80% |
| CHN | ALL PRODUCTS | $290.70 | ↑ +92% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $290.70 | ↑ +92% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +92% |
| QUALCARE | PPO | $301.64 | ↑ +99% |
| QUALCARE | WORKERS COMP | $301.64 | ↑ +99% |
| QUALCARE | HMO | $301.64 | ↑ +99% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.80 | ↑ +103% |
| AETNA | ASA | $325.58 | ↑ +115% |
| AETNA | PPO | $325.58 | ↑ +115% |
| AETNA | HMO | $325.58 | ↑ +115% |
| HORIZON | HMO | $325.72 | ↑ +115% |
| HORIZON | INDEMNITY | $327.40 | ↑ +116% |
| HORIZON | SHP | $329.48 | ↑ +117% |
| CIGNA | HMO | $330.89 | ↑ +118% |
| CIGNA | PPO | $330.89 | ↑ +118% |
| HORIZON | FEDERAL | $333.52 | ↑ +120% |
| HORIZON | PPO | $333.52 | ↑ +120% |
| AMERIHEALTH | REGIONAL HMO | $342.00 | ↑ +125% |
| AMERIHEALTH | LOCAL HMO | $342.00 | ↑ +125% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.64 | $142.64 – $171.17 |
| Ocean University Medical Center | Brick | $140.84 | $128.87 – $225.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $128.87 – $232.25 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $142.64 – $225.42 |
| Palisades Medical Center | North Bergen | $151.77 | $151.77 – $232.25 |
| Raritan Bay Medical Center | Perth Amboy | $142.76 | $142.76 – $232.25 |
| Riverview Medical Center | Red Bank | $142.64 | $142.64 – $225.42 |
| Southern Ocean Medical Center | Manahawkin | $140.84 | $140.84 – $225.42 |