Strep b assay w/optic at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$12.73
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.
$53.00
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.
$9.28 with HORIZON vs $150.75 with AETNA — 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 | $9.28 | ↓ -27% |
| OPTUM HEALTH | MANAGED MEDICAID | $10.18 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.73 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.73 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.73 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $13.30 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.37 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $15.91 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $16.93 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $26.50 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $29.95 | ↑ +135% |
| HORIZON | OMNIA | $34.71 | ↑ +173% |
| HORIZON | WORKERS COMP | $36.50 | ↑ +187% |
| INTERGROUP | ALL PRODUCTS | $37.10 | ↑ +191% |
| BERGEN RISK | ALL PRODUCTS | $39.75 | ↑ +212% |
| HORIZON | PIP | $39.75 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $41.87 | ↑ +229% |
| CIGNA | BH | $42.40 | ↑ +233% |
| CHN | ALL PRODUCTS | $45.05 | ↑ +254% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $45.05 | ↑ +254% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $45.05 | ↑ +254% |
| QUALCARE | WORKERS COMP | $46.75 | ↑ +267% |
| QUALCARE | PPO | $46.75 | ↑ +267% |
| QUALCARE | HMO | $46.75 | ↑ +267% |
| HORIZON | HMO | $50.48 | ↑ +297% |
| HORIZON | INDEMNITY | $50.74 | ↑ +299% |
| HORIZON | SHP | $51.06 | ↑ +301% |
| HORIZON | FEDERAL | $51.69 | ↑ +306% |
| HORIZON | PPO | $51.69 | ↑ +306% |
| AMERIHEALTH | LOCAL HMO | $53.00 | ↑ +316% |
| AMERIHEALTH | REGIONAL HMO | $53.00 | ↑ +316% |
| CIGNA | PPO | $57.16 | ↑ +349% |
| CIGNA | HMO | $57.16 | ↑ +349% |
| AETNA | PPO | $150.75 | ↑ +1084% |
| AETNA | HMO | $150.75 | ↑ +1084% |
| AETNA | ASA | $150.75 | ↑ +1084% |
Visitor-reported prices
Comments
Strep b assay w/optic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $14.00 | $5.98 – $52.08 |
| Cooperman Barnabas Medical Center | Livingston | $14.00 | $5.98 – $52.08 |
| Community Medical Center | Toms River | $14.00 | $5.98 – $52.08 |
| Clara Maass Medical Center | Belleville | $14.00 | $5.98 – $52.08 |
| Newark Beth Israel Medical Center | Newark | $14.00 | $5.98 – $52.08 |
| Jersey City Medical Center | Jersey City | $14.00 | $5.98 – $52.08 |
| Monmouth Medical Center | Long Branch | $14.00 | $5.98 – $52.08 |
| Bayshore Medical Center | Holmdel | $12.73 | $12.73 – $58.33 |