Prgrmg dev eval scrms ip at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$43.91
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.
$119.00
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.
$21.42 with CLOVER vs $2,033.00 with OXFORD — 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 | $21.42 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $29.87 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.03 | ↓ -23% |
| OPTUM HEALTH | MANAGED MEDICAID | $35.13 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $43.61 | ↓ -1% |
| HORIZON | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.91 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.91 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $46.11 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $58.91 | ↑ +34% |
| HORIZON | OMNIA | $77.93 | ↑ +77% |
| HORIZON | WORKERS COMP | $81.94 | ↑ +87% |
| INTERGROUP | ALL PRODUCTS | $83.30 | ↑ +90% |
| BERGEN RISK | ALL PRODUCTS | $89.25 | ↑ +103% |
| HORIZON | PIP | $89.25 | ↑ +103% |
| LHP HEALTH | ALL PRODUCTS | $94.01 | ↑ +114% |
| CIGNA | BH | $95.20 | ↑ +117% |
| CHN | ALL PRODUCTS | $101.15 | ↑ +130% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $101.15 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $101.15 | ↑ +130% |
| QUALCARE | PPO | $104.96 | ↑ +139% |
| QUALCARE | WORKERS COMP | $104.96 | ↑ +139% |
| QUALCARE | HMO | $104.96 | ↑ +139% |
| KARNA | MEDICARE ADVANTAGE | $105.63 | ↑ +141% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $107.10 | ↑ +144% |
| HORIZON | HMO | $113.34 | ↑ +158% |
| HORIZON | INDEMNITY | $113.92 | ↑ +159% |
| HORIZON | SHP | $114.64 | ↑ +161% |
| CIGNA | PPO | $115.13 | ↑ +162% |
| CIGNA | HMO | $115.13 | ↑ +162% |
| HORIZON | PPO | $116.05 | ↑ +164% |
| HORIZON | FEDERAL | $116.05 | ↑ +164% |
| AMERIHEALTH | LOCAL HMO | $119.00 | ↑ +171% |
| AMERIHEALTH | REGIONAL HMO | $119.00 | ↑ +171% |
| AETNA | PPO | $189.91 | ↑ +332% |
| AETNA | ASA | $189.91 | ↑ +332% |
| AETNA | HMO | $189.91 | ↑ +332% |
| UNITED HEALTHCARE | HMO | $2,030.00 | ↑ +4523% |
| OXFORD | ALL PRODUCTS | $2,033.00 | ↑ +4530% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Prgrmg dev eval scrms ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $100.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $100.85 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $105.63 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $105.63 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $100.85 |
| Southern Ocean Medical Center | Manahawkin | $40.75 | $40.75 – $100.85 |