Prostate biopsy, any mthd at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$423.63
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.
$1,870.00
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.
$225.96 with HORIZON vs $3,593.10 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $225.96 | ↓ -47% |
| OPTUM HEALTH | MANAGED MEDICAID | $338.90 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $415.67 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $423.63 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $423.63 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $423.63 | ↑ +0% |
| VACCN | ALL PRODUCTS | $423.63 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $423.63 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $423.63 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $444.81 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $469.37 | ↑ +11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $534.82 | ↑ +26% |
| UNITED HEALTHCARE | HMO | $672.67 | ↑ +59% |
| KARNA | MEDICARE ADVANTAGE | $672.81 | ↑ +59% |
| OXFORD | ALL PRODUCTS | $935.00 | ↑ +121% |
| HORIZON | OMNIA | $1,224.66 | ↑ +189% |
| HORIZON | WORKERS COMP | $1,287.68 | ↑ +204% |
| INTERGROUP | ALL PRODUCTS | $1,309.00 | ↑ +209% |
| BERGEN RISK | ALL PRODUCTS | $1,402.50 | ↑ +231% |
| HORIZON | PIP | $1,402.50 | ↑ +231% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,477.30 | ↑ +249% |
| LHP HEALTH | ALL PRODUCTS | $1,477.30 | ↑ +249% |
| CIGNA | BH | $1,496.00 | ↑ +253% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,589.50 | ↑ +275% |
| CHN | ALL PRODUCTS | $1,589.50 | ↑ +275% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,589.50 | ↑ +275% |
| QUALCARE | HMO | $1,649.34 | ↑ +289% |
| QUALCARE | PPO | $1,649.34 | ↑ +289% |
| QUALCARE | WORKERS COMP | $1,649.34 | ↑ +289% |
| HORIZON | HMO | $1,780.99 | ↑ +320% |
| HORIZON | INDEMNITY | $1,790.15 | ↑ +323% |
| HORIZON | SHP | $1,801.56 | ↑ +325% |
| CIGNA | HMO | $1,809.23 | ↑ +327% |
| CIGNA | PPO | $1,809.23 | ↑ +327% |
| HORIZON | PPO | $1,823.62 | ↑ +330% |
| HORIZON | FEDERAL | $1,823.62 | ↑ +330% |
| AMERIHEALTH | LOCAL HMO | $1,870.00 | ↑ +341% |
| AMERIHEALTH | REGIONAL HMO | $1,870.00 | ↑ +341% |
| AETNA | HMO | $3,593.10 | ↑ +748% |
| AETNA | PPO | $3,593.10 | ↑ +748% |
| AETNA | ASA | $3,593.10 | ↑ +748% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $398.16 | $398.16 – $597.81 |
| Ocean University Medical Center | Brick | $393.13 | $359.72 – $642.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $398.51 | $359.72 – $672.81 |
| Jersey Shore University Medical Center | Neptune City | $398.16 | $398.16 – $650.97 |
| Palisades Medical Center | North Bergen | $423.63 | $249.26 – $1,228.50 |
| Raritan Bay Medical Center | Perth Amboy | $398.51 | $398.51 – $672.81 |
| Riverview Medical Center | Red Bank | $398.16 | $398.16 – $642.92 |
| Southern Ocean Medical Center | Manahawkin | $393.13 | $393.13 – $642.92 |