Radphm lcl tmr spect/ct 2+ areas/2+ days at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,537.41
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.
$3,419.00
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.
$489.75 with HORIZON vs $4,038.62 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $489.75 | ↓ -68% |
| AMERIHEALTH | REGIONAL HMO | $598.21 | ↓ -61% |
| AMERIHEALTH | LOCAL HMO | $598.21 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $615.42 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $858.17 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $977.83 | ↓ -36% |
| OPTUM HEALTH | MANAGED MEDICAID | $1,229.93 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $1,270.42 | ↓ -17% |
| HORIZON | MEDICARE ADVANTAGE | $1,537.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,537.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,537.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,537.41 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,537.41 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,537.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,614.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,642.08 | ↑ +7% |
| AETNA | ASA | $2,220.56 | ↑ +44% |
| AETNA | HMO | $2,220.56 | ↑ +44% |
| AETNA | PPO | $2,220.56 | ↑ +44% |
| CIGNA | PPO | $2,227.29 | ↑ +45% |
| CIGNA | HMO | $2,227.29 | ↑ +45% |
| HORIZON | OMNIA | $2,239.10 | ↑ +46% |
| HORIZON | WORKERS COMP | $2,354.32 | ↑ +53% |
| INTERGROUP | ALL PRODUCTS | $2,393.30 | ↑ +56% |
| HORIZON | PIP | $2,564.25 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $2,564.25 | ↑ +67% |
| LHP HEALTH | ALL PRODUCTS | $2,701.01 | ↑ +76% |
| CIGNA | BH | $2,735.20 | ↑ +78% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,906.15 | ↑ +89% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,906.15 | ↑ +89% |
| CHN | ALL PRODUCTS | $2,906.15 | ↑ +89% |
| QUALCARE | HMO | $3,015.56 | ↑ +96% |
| QUALCARE | PPO | $3,015.56 | ↑ +96% |
| QUALCARE | WORKERS COMP | $3,015.56 | ↑ +96% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,077.10 | ↑ +100% |
| HORIZON | HMO | $3,256.26 | ↑ +112% |
| HORIZON | INDEMNITY | $3,273.01 | ↑ +113% |
| HORIZON | SHP | $3,293.86 | ↑ +114% |
| HORIZON | FEDERAL | $3,334.21 | ↑ +117% |
| HORIZON | PPO | $3,334.21 | ↑ +117% |
| UNITED HEALTHCARE | HMO | $4,038.62 | ↑ +163% |
| OXFORD | ALL PRODUCTS | $4,038.62 | ↑ +163% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $903.11 | $419.56 – $2,954.34 |
| Clara Maass Medical Center | Belleville | $1,126.96 | $420.38 – $2,954.34 |
| Newark Beth Israel Medical Center | Newark | $887.77 | $350.57 – $2,954.34 |
| Monmouth Medical Center | Long Branch | $1,297.04 | $419.56 – $2,954.34 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $596.73 – $3,535.83 |
| Ocean University Medical Center | Brick | $1,426.73 | $596.73 – $3,535.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $533.60 – $3,744.78 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $586.42 – $4,012.50 |