Puncture spinal lumbar diagnostic at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$815.55
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.
$2,849.00
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.
$132.65 with KARNA vs $16,802.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $132.65 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $512.82 | ↓ -37% |
| OPTUM HEALTH | MANAGED MEDICAID | $652.44 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $715.10 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $799.72 | ↓ -2% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $814.81 | ↓ -0% |
| HORIZON | MEDICARE ADVANTAGE | $815.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $815.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $815.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $815.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $815.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $815.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $856.33 | ↑ +5% |
| HORIZON | OMNIA | $1,865.81 | ↑ +129% |
| INTERGROUP | ALL PRODUCTS | $1,994.30 | ↑ +145% |
| HORIZON | PIP | $2,136.75 | ↑ +162% |
| BERGEN RISK | ALL PRODUCTS | $2,136.75 | ↑ +162% |
| CIGNA | BH | $2,279.20 | ↑ +179% |
| LHP HEALTH | ALL PRODUCTS | $2,336.18 | ↑ +186% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,421.65 | ↑ +197% |
| CHN | ALL PRODUCTS | $2,421.65 | ↑ +197% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,421.65 | ↑ +197% |
| QUALCARE | PPO | $2,535.61 | ↑ +211% |
| QUALCARE | WORKERS COMP | $2,535.61 | ↑ +211% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,564.10 | ↑ +214% |
| CIGNA | PPO | $2,590.88 | ↑ +218% |
| CIGNA | HMO | $2,590.88 | ↑ +218% |
| HORIZON | HMO | $2,713.39 | ↑ +233% |
| HORIZON | INDEMNITY | $2,727.35 | ↑ +234% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +234% |
| HORIZON | SHP | $2,744.73 | ↑ +237% |
| HORIZON | FEDERAL | $2,778.34 | ↑ +241% |
| HORIZON | PPO | $2,778.34 | ↑ +241% |
| OXFORD | ALL PRODUCTS | $4,721.00 | ↑ +479% |
| UNITED HEALTHCARE | HMO | $5,606.00 | ↑ +587% |
| QUALCARE | HMO | $7,712.00 | ↑ +846% |
| AETNA | ASA | $7,773.00 | ↑ +853% |
| AETNA | PPO | $7,773.00 | ↑ +853% |
| AETNA | HMO | $7,773.00 | ↑ +853% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +883% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +992% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1960% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $75.63 – $1,513.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $66.42 – $1,553.90 |
| Community Medical Center | Toms River | $3,786.00 | $66.42 – $1,506.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $66.42 – $1,546.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $66.42 – $1,553.90 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $66.42 – $1,622.94 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $66.42 – $1,525.37 |
| Bayshore Medical Center | Holmdel | $766.52 | $766.52 – $919.83 |