Pt re-evaluation patient/family at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$86.04
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.
$325.00
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.
$54.05 with HORIZON vs $614.48 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 | $54.05 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $58.50 | ↓ -32% |
| OPTUM HEALTH | MANAGED MEDICAID | $68.83 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $81.58 | ↓ -5% |
| VACCN | ALL PRODUCTS | $86.04 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $86.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $86.04 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $90.34 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.95 | ↑ +8% |
| KARNA | MEDICARE ADVANTAGE | $120.43 | ↑ +40% |
| HORIZON | OMNIA | $212.84 | ↑ +147% |
| HORIZON | WORKERS COMP | $223.80 | ↑ +160% |
| INTERGROUP | ALL PRODUCTS | $227.50 | ↑ +164% |
| CIGNA | PPO | $238.00 | ↑ +177% |
| CIGNA | HMO | $238.00 | ↑ +177% |
| HORIZON | PIP | $243.75 | ↑ +183% |
| LHP HEALTH | ALL PRODUCTS | $256.75 | ↑ +198% |
| CIGNA | BH | $260.00 | ↑ +202% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $276.25 | ↑ +221% |
| CHN | ALL PRODUCTS | $276.25 | ↑ +221% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $276.25 | ↑ +221% |
| QUALCARE | WORKERS COMP | $286.65 | ↑ +233% |
| QUALCARE | PPO | $286.65 | ↑ +233% |
| QUALCARE | HMO | $286.65 | ↑ +233% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +238% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $292.50 | ↑ +240% |
| HORIZON | HMO | $309.53 | ↑ +260% |
| HORIZON | INDEMNITY | $311.12 | ↑ +262% |
| HORIZON | SHP | $313.11 | ↑ +264% |
| HORIZON | FEDERAL | $316.94 | ↑ +268% |
| HORIZON | PPO | $316.94 | ↑ +268% |
| AMERIHEALTH | REGIONAL HMO | $325.00 | ↑ +278% |
| AMERIHEALTH | LOCAL HMO | $325.00 | ↑ +278% |
| OXFORD | ALL PRODUCTS | $346.00 | ↑ +302% |
| UNITED HEALTHCARE | HMO | $406.00 | ↑ +372% |
| AETNA | PPO | $614.48 | ↑ +614% |
| AETNA | HMO | $614.48 | ↑ +614% |
| AETNA | ASA | $614.48 | ↑ +614% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $283.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $86.04 | $86.04 – $447.00 |
| Ocean University Medical Center | Brick | $86.04 | $60.00 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $86.04 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $86.04 | $68.83 – $561.00 |
| Palisades Medical Center | North Bergen | $86.04 | $86.04 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $86.04 | $86.04 – $471.00 |