Rmvl icd gen w/rplc icd gen mlt lead sys at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$37,757.64
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.
$51,396.00
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.
$842.67 with KARNA vs $120,307.00 with UNITED HEALTHCARE — 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 | $842.67 | ↓ -98% |
| AETNA | PPO | $7,773.00 | ↓ -79% |
| AETNA | ASA | $7,773.00 | ↓ -79% |
| AETNA | HMO | $7,773.00 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $9,251.28 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $12,900.40 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14,699.26 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $25,441.02 | ↓ -33% |
| OPTUM HEALTH | MANAGED MEDICAID | $30,206.11 | ↓ -20% |
| HORIZON | OMNIA | $33,659.24 | ↓ -11% |
| HORIZON | WORKERS COMP | $35,391.29 | ↓ -6% |
| INTERGROUP | ALL PRODUCTS | $35,977.20 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $37,757.64 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $37,757.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $37,757.64 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $37,757.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $37,757.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $37,757.64 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $38,045.24 | ↑ +1% |
| BERGEN RISK | ALL PRODUCTS | $38,547.00 | ↑ +2% |
| HORIZON | PIP | $38,547.00 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39,645.52 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $40,602.84 | ↑ +8% |
| CIGNA | BH | $41,116.80 | ↑ +9% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $43,686.60 | ↑ +16% |
| CHN | ALL PRODUCTS | $43,686.60 | ↑ +16% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $43,686.60 | ↑ +16% |
| QUALCARE | PPO | $45,331.27 | ↑ +20% |
| QUALCARE | HMO | $45,331.27 | ↑ +20% |
| QUALCARE | WORKERS COMP | $45,331.27 | ↑ +20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $46,256.40 | ↑ +23% |
| HORIZON | HMO | $48,949.55 | ↑ +30% |
| HORIZON | INDEMNITY | $49,201.39 | ↑ +30% |
| HORIZON | SHP | $49,514.91 | ↑ +31% |
| CIGNA | HMO | $49,725.63 | ↑ +32% |
| CIGNA | PPO | $49,725.63 | ↑ +32% |
| HORIZON | FEDERAL | $50,121.38 | ↑ +33% |
| HORIZON | PPO | $50,121.38 | ↑ +33% |
| AMERIHEALTH | LOCAL HMO | $51,396.00 | ↑ +36% |
| AMERIHEALTH | REGIONAL HMO | $51,396.00 | ↑ +36% |
| OXFORD | ALL PRODUCTS | $118,157.00 | ↑ +213% |
| UNITED HEALTHCARE | HMO | $120,307.00 | ↑ +219% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $201.67 – $70,078.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $35,970.53 – $71,941.06 |
| Community Medical Center | Toms River | $3,786.00 | $35,039.46 – $69,728.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $35,970.53 – $71,581.35 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $207.61 – $71,941.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $260.99 – $75,137.70 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $35,487.68 – $70,620.48 |
| Bayshore Medical Center | Holmdel | $35,487.68 | $35,487.68 – $42,585.22 |