Surgical pathology level 6 gross & microscopic examination at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$962.03
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.
$1,111.00
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.
$132.32 with HORIZON vs $3,046.85 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $132.32 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $278.86 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $317.75 | ↓ -67% |
| OXFORD | ALL PRODUCTS | $555.50 | ↓ -42% |
| HORIZON | OMNIA | $727.59 | ↓ -24% |
| HORIZON | WORKERS COMP | $765.03 | ↓ -20% |
| OPTUM HEALTH | MANAGED MEDICAID | $769.62 | ↓ -20% |
| INTERGROUP | ALL PRODUCTS | $777.70 | ↓ -19% |
| HORIZON | PIP | $833.25 | ↓ -13% |
| BERGEN RISK | ALL PRODUCTS | $833.25 | ↓ -13% |
| LHP HEALTH | ALL PRODUCTS | $877.69 | ↓ -9% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $877.69 | ↓ -9% |
| CIGNA | BH | $888.80 | ↓ -8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $944.35 | ↓ -2% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $944.35 | ↓ -2% |
| CHN | ALL PRODUCTS | $944.35 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $962.03 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $962.03 | ↑ +0% |
| QUALCARE | HMO | $979.90 | ↑ +2% |
| QUALCARE | PPO | $979.90 | ↑ +2% |
| QUALCARE | WORKERS COMP | $979.90 | ↑ +2% |
| AETNA | MEDICARE ADVANTAGE | $994.39 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,010.13 | ↑ +5% |
| HORIZON | HMO | $1,058.12 | ↑ +10% |
| HORIZON | INDEMNITY | $1,063.56 | ↑ +11% |
| HORIZON | SHP | $1,070.34 | ↑ +11% |
| CIGNA | HMO | $1,074.89 | ↑ +12% |
| CIGNA | PPO | $1,074.89 | ↑ +12% |
| HORIZON | FEDERAL | $1,083.45 | ↑ +13% |
| HORIZON | PPO | $1,083.45 | ↑ +13% |
| AMERIHEALTH | REGIONAL HMO | $1,111.00 | ↑ +15% |
| AMERIHEALTH | LOCAL HMO | $1,111.00 | ↑ +15% |
| UNITED HEALTHCARE | HMO | $1,515.40 | ↑ +58% |
| AETNA | ASA | $3,046.85 | ↑ +217% |
| AETNA | PPO | $3,046.85 | ↑ +217% |
| AETNA | HMO | $3,046.85 | ↑ +217% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $291.87 | $231.40 – $1,785.54 |
| Cooperman Barnabas Medical Center | Livingston | $278.86 | $145.96 – $1,833.00 |
| Community Medical Center | Toms River | $322.50 | $145.96 – $1,776.61 |
| Clara Maass Medical Center | Belleville | $210.63 | $145.96 – $1,823.84 |
| Newark Beth Israel Medical Center | Newark | $274.12 | $145.96 – $1,833.00 |
| Jersey City Medical Center | Jersey City | $323.12 | $145.96 – $1,914.44 |
| Monmouth Medical Center | Long Branch | $340.23 | $145.96 – $1,799.34 |
| Bayshore Medical Center | Holmdel | $904.19 | $249.24 – $1,346.75 |