Radphm lcl tumor plr sgl day at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$473.22
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.
$3,035.00
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.
$203.68 with HORIZON vs $2,959.73 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $203.68 | ↓ -57% |
| AMERIHEALTH | LOCAL HMO | $344.97 | ↓ -27% |
| AMERIHEALTH | REGIONAL HMO | $344.97 | ↓ -27% |
| OPTUM HEALTH | MANAGED MEDICAID | $378.58 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $453.41 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $473.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $473.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $473.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $473.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $473.22 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $473.22 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $476.96 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $496.88 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $546.30 | ↑ +15% |
| AETNA | ASA | $573.11 | ↑ +21% |
| AETNA | PPO | $573.11 | ↑ +21% |
| AETNA | HMO | $573.11 | ↑ +21% |
| AETNA | MANAGED MEDICAID | $761.79 | ↑ +61% |
| CIGNA | PPO | $800.33 | ↑ +69% |
| CIGNA | HMO | $800.33 | ↑ +69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $868.01 | ↑ +83% |
| OXFORD | ALL PRODUCTS | $1,166.24 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $1,166.24 | ↑ +146% |
| HORIZON | OMNIA | $1,987.62 | ↑ +320% |
| HORIZON | WORKERS COMP | $2,089.90 | ↑ +342% |
| INTERGROUP | ALL PRODUCTS | $2,124.50 | ↑ +349% |
| BERGEN RISK | ALL PRODUCTS | $2,276.25 | ↑ +381% |
| HORIZON | PIP | $2,276.25 | ↑ +381% |
| LHP HEALTH | ALL PRODUCTS | $2,397.65 | ↑ +407% |
| CIGNA | BH | $2,428.00 | ↑ +413% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,579.75 | ↑ +445% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,579.75 | ↑ +445% |
| CHN | ALL PRODUCTS | $2,579.75 | ↑ +445% |
| QUALCARE | HMO | $2,676.87 | ↑ +466% |
| QUALCARE | PPO | $2,676.87 | ↑ +466% |
| QUALCARE | WORKERS COMP | $2,676.87 | ↑ +466% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,731.50 | ↑ +477% |
| HORIZON | HMO | $2,890.53 | ↑ +511% |
| HORIZON | INDEMNITY | $2,905.41 | ↑ +514% |
| HORIZON | SHP | $2,923.92 | ↑ +518% |
| HORIZON | FEDERAL | $2,959.73 | ↑ +525% |
| HORIZON | PPO | $2,959.73 | ↑ +525% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |