Pretreat rbc w enzyme reference at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$201.80
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.
$535.00
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.
$10.48 with HORIZON vs $535.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $10.48 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $66.24 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $134.29 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $153.01 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $161.44 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $197.52 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $201.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $201.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $201.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $201.80 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $201.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $201.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $211.89 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $267.50 | ↑ +33% |
| UNITED HEALTHCARE | HMO | $302.28 | ↑ +50% |
| HORIZON | OMNIA | $350.37 | ↑ +74% |
| HORIZON | WORKERS COMP | $368.40 | ↑ +83% |
| INTERGROUP | ALL PRODUCTS | $374.50 | ↑ +86% |
| BERGEN RISK | ALL PRODUCTS | $401.25 | ↑ +99% |
| HORIZON | PIP | $401.25 | ↑ +99% |
| LHP HEALTH | ALL PRODUCTS | $422.65 | ↑ +109% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $422.65 | ↑ +109% |
| CIGNA | BH | $428.00 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $454.75 | ↑ +125% |
| CHN | ALL PRODUCTS | $454.75 | ↑ +125% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $454.75 | ↑ +125% |
| QUALCARE | PPO | $471.87 | ↑ +134% |
| QUALCARE | HMO | $471.87 | ↑ +134% |
| QUALCARE | WORKERS COMP | $471.87 | ↑ +134% |
| AETNA | ASA | $509.32 | ↑ +152% |
| AETNA | PPO | $509.32 | ↑ +152% |
| AETNA | HMO | $509.32 | ↑ +152% |
| HORIZON | HMO | $509.53 | ↑ +152% |
| HORIZON | INDEMNITY | $512.16 | ↑ +154% |
| HORIZON | SHP | $515.42 | ↑ +155% |
| CIGNA | HMO | $517.61 | ↑ +156% |
| CIGNA | PPO | $517.61 | ↑ +156% |
| HORIZON | PPO | $521.73 | ↑ +159% |
| HORIZON | FEDERAL | $521.73 | ↑ +159% |
| AMERIHEALTH | REGIONAL HMO | $535.00 | ↑ +165% |
| AMERIHEALTH | LOCAL HMO | $535.00 | ↑ +165% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $44.48 | $15.30 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $73.31 | $11.56 – $384.50 |
| Community Medical Center | Toms River | $49.15 | $11.56 – $372.69 |
| Clara Maass Medical Center | Belleville | $47.13 | $11.56 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $72.07 | $11.56 – $384.50 |
| Monmouth Medical Center | Long Branch | $51.85 | $11.56 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $24.40 – $597.81 |
| Ocean University Medical Center | Brick | $187.28 | $16.50 – $187.28 |