healthcosts.net
Skin Biopsy at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$234.00
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.
$990.00
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.
$79.41 with KARNA vs $16,802.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $79.41 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $178.20 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $187.20 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $231.52 | ↓ -1% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $234.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $234.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $234.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $245.70 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $248.49 | ↑ +6% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $283.14 | ↑ +21% |
| HORIZON | OMNIA | $648.35 | ↑ +177% |
| INTERGROUP | ALL PRODUCTS | $693.00 | ↑ +196% |
| HORIZON | PIP | $742.50 | ↑ +217% |
| BERGEN RISK | ALL PRODUCTS | $742.50 | ↑ +217% |
| CIGNA | BH | $792.00 | ↑ +238% |
| LHP HEALTH | ALL PRODUCTS | $811.80 | ↑ +247% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $841.50 | ↑ +260% |
| CHN | ALL PRODUCTS | $841.50 | ↑ +260% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $841.50 | ↑ +260% |
| QUALCARE | WORKERS COMP | $881.10 | ↑ +277% |
| QUALCARE | PPO | $881.10 | ↑ +277% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $891.00 | ↑ +281% |
| CIGNA | PPO | $900.31 | ↑ +285% |
| CIGNA | HMO | $900.31 | ↑ +285% |
| HORIZON | HMO | $942.88 | ↑ +303% |
| HORIZON | INDEMNITY | $947.73 | ↑ +305% |
| HORIZON | SHP | $953.77 | ↑ +308% |
| HORIZON | FEDERAL | $965.45 | ↑ +313% |
| HORIZON | PPO | $965.45 | ↑ +313% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +1066% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +1270% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +1505% |
| QUALCARE | HMO | $7,712.00 | ↑ +3196% |
| AETNA | PPO | $7,773.00 | ↑ +3222% |
| AETNA | ASA | $7,773.00 | ↑ +3222% |
| AETNA | HMO | $7,773.00 | ↑ +3222% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +3324% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +3705% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +7080% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Skin Biopsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $217.16 | $76.98 – $895.85 |
| Bayshore Medical Center | Holmdel | $219.93 | $135.30 – $708.84 |