healthcosts.net
Screening Mammogram at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$169.06
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.
?
What you pay up front if you don't use insurance.
$838.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$98.12 with HORIZON vs $817.22 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $98.12 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $119.64 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $119.64 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $135.25 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $150.84 | ↓ -11% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $169.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $169.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $169.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $177.51 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $210.34 | ↑ +24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $239.67 | ↑ +42% |
| KARNA | MEDICARE ADVANTAGE | $247.37 | ↑ +46% |
| UNITED HEALTHCARE | HMO | $298.89 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $298.89 | ↑ +77% |
| CIGNA | PPO | $335.01 | ↑ +98% |
| CIGNA | HMO | $335.01 | ↑ +98% |
| AETNA | PPO | $343.76 | ↑ +103% |
| AETNA | ASA | $343.76 | ↑ +103% |
| AETNA | HMO | $343.76 | ↑ +103% |
| HORIZON | OMNIA | $548.81 | ↑ +225% |
| HORIZON | WORKERS COMP | $577.05 | ↑ +241% |
| INTERGROUP | ALL PRODUCTS | $586.60 | ↑ +247% |
| HORIZON | PIP | $628.50 | ↑ +272% |
| BERGEN RISK | ALL PRODUCTS | $628.50 | ↑ +272% |
| LHP HEALTH | ALL PRODUCTS | $662.02 | ↑ +292% |
| CIGNA | BH | $670.40 | ↑ +297% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $712.30 | ↑ +321% |
| CHN | ALL PRODUCTS | $712.30 | ↑ +321% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $712.30 | ↑ +321% |
| QUALCARE | HMO | $739.12 | ↑ +337% |
| QUALCARE | WORKERS COMP | $739.12 | ↑ +337% |
| QUALCARE | PPO | $739.12 | ↑ +337% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $754.20 | ↑ +346% |
| HORIZON | HMO | $798.11 | ↑ +372% |
| HORIZON | INDEMNITY | $802.22 | ↑ +375% |
| HORIZON | SHP | $807.33 | ↑ +378% |
| HORIZON | FEDERAL | $817.22 | ↑ +383% |
| HORIZON | PPO | $817.22 | ↑ +383% |
Visitor-reported prices
Comments
Screening Mammogram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $169.06 | $106.22 – $673.20 |
| Bayshore Medical Center | Holmdel | $169.06 | $119.35 – $673.20 |