Sigmoidoscopy w/ultrasound at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,073.68
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.
$3,655.00
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.
$260.33 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 | $260.33 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $657.90 | ↓ -39% |
| OPTUM HEALTH | MANAGED MEDICAID | $858.95 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $917.41 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,045.33 | ↓ -3% |
| AETNA | MEDICARE ADVANTAGE | $1,056.92 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $1,073.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,073.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,127.37 | ↑ +5% |
| HORIZON | OMNIA | $2,393.66 | ↑ +123% |
| INTERGROUP | ALL PRODUCTS | $2,558.50 | ↑ +138% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +154% |
| BERGEN RISK | ALL PRODUCTS | $2,741.25 | ↑ +155% |
| HORIZON | PIP | $2,741.25 | ↑ +155% |
| CIGNA | BH | $2,924.00 | ↑ +172% |
| LHP HEALTH | ALL PRODUCTS | $2,997.10 | ↑ +179% |
| CHN | ALL PRODUCTS | $3,106.75 | ↑ +189% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,106.75 | ↑ +189% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,106.75 | ↑ +189% |
| QUALCARE | HMO | $3,223.71 | ↑ +200% |
| QUALCARE | PPO | $3,252.95 | ↑ +203% |
| QUALCARE | WORKERS COMP | $3,252.95 | ↑ +203% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,289.50 | ↑ +206% |
| CIGNA | PPO | $3,323.86 | ↑ +210% |
| CIGNA | HMO | $3,323.86 | ↑ +210% |
| HORIZON | HMO | $3,481.02 | ↑ +224% |
| HORIZON | INDEMNITY | $3,498.93 | ↑ +226% |
| HORIZON | SHP | $3,521.23 | ↑ +228% |
| HORIZON | FEDERAL | $3,564.36 | ↑ +232% |
| HORIZON | PPO | $3,564.36 | ↑ +232% |
| OXFORD | ALL PRODUCTS | $7,146.00 | ↑ +566% |
| AETNA | ASA | $7,773.00 | ↑ +624% |
| AETNA | PPO | $7,773.00 | ↑ +624% |
| AETNA | HMO | $7,773.00 | ↑ +624% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +646% |
| UNITED HEALTHCARE | HMO | $8,568.00 | ↑ +698% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +729% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1465% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy w/ultrasound at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $62.10 – $1,992.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $282.20 – $2,045.74 |
| Community Medical Center | Toms River | $3,786.00 | $289.00 – $1,982.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $278.80 – $2,035.51 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $63.92 – $2,045.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $80.36 – $2,136.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $557.60 – $2,008.19 |
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |