Surgical pathology level 4 gross & microscopic examination at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$62.92
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.
$1,519.00
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.
$50.34 with OPTUM HEALTH vs $350.85 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $50.34 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $53.97 | ↓ -14% |
| HORIZON | MANAGED MEDICAID | $59.47 | ↓ -5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $61.49 | ↓ -2% |
| AETNA | MEDICARE ADVANTAGE | $62.66 | ↓ -0% |
| VACCN | ALL PRODUCTS | $62.92 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $62.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $62.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $66.07 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $107.50 | ↑ +71% |
| UNITED HEALTHCARE | HMO | $114.92 | ↑ +83% |
| KARNA | MEDICARE ADVANTAGE | $136.60 | ↑ +117% |
| HORIZON | OMNIA | $140.80 | ↑ +124% |
| HORIZON | WORKERS COMP | $148.05 | ↑ +135% |
| INTERGROUP | ALL PRODUCTS | $150.50 | ↑ +139% |
| BERGEN RISK | ALL PRODUCTS | $161.25 | ↑ +156% |
| HORIZON | PIP | $161.25 | ↑ +156% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $169.85 | ↑ +170% |
| LHP HEALTH | ALL PRODUCTS | $169.85 | ↑ +170% |
| CIGNA | BH | $172.00 | ↑ +173% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $182.75 | ↑ +190% |
| CHN | ALL PRODUCTS | $182.75 | ↑ +190% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $182.75 | ↑ +190% |
| QUALCARE | HMO | $189.63 | ↑ +201% |
| QUALCARE | PPO | $189.63 | ↑ +201% |
| QUALCARE | WORKERS COMP | $189.63 | ↑ +201% |
| HORIZON | HMO | $204.77 | ↑ +225% |
| HORIZON | INDEMNITY | $205.82 | ↑ +227% |
| HORIZON | SHP | $207.13 | ↑ +229% |
| CIGNA | HMO | $208.01 | ↑ +231% |
| CIGNA | PPO | $208.01 | ↑ +231% |
| HORIZON | PPO | $209.67 | ↑ +233% |
| HORIZON | FEDERAL | $209.67 | ↑ +233% |
| AMERIHEALTH | LOCAL HMO | $215.00 | ↑ +242% |
| AMERIHEALTH | REGIONAL HMO | $215.00 | ↑ +242% |
| AETNA | HMO | $350.85 | ↑ +458% |
| AETNA | PPO | $350.85 | ↑ +458% |
| AETNA | ASA | $350.85 | ↑ +458% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $80.52 | $23.57 – $182.60 |
| Cooperman Barnabas Medical Center | Livingston | $175.24 | $23.57 – $142.71 |
| Community Medical Center | Toms River | $88.97 | $23.57 – $142.71 |
| Clara Maass Medical Center | Belleville | $162.89 | $23.57 – $142.71 |
| Newark Beth Israel Medical Center | Newark | $172.26 | $23.57 – $142.71 |
| Jersey City Medical Center | Jersey City | $89.14 | $23.57 – $142.71 |
| Monmouth Medical Center | Long Branch | $93.86 | $23.57 – $142.71 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |