Susceptibility agar dilution per agent at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$4.75
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.
$83.00
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.
$3.80 with OPTUM HEALTH vs $83.00 with AMERIHEALTH — 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 | $3.80 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4.75 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.75 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $4.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4.75 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.99 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $5.94 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $6.32 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $8.62 | ↑ +81% |
| AETNA | MANAGED MEDICAID | $20.83 | ↑ +339% |
| CIGNA | PPO | $21.33 | ↑ +349% |
| CIGNA | HMO | $21.33 | ↑ +349% |
| OXFORD | ALL PRODUCTS | $41.50 | ↑ +774% |
| UNITED HEALTHCARE | HMO | $46.90 | ↑ +887% |
| HORIZON | OMNIA | $54.36 | ↑ +1044% |
| HORIZON | WORKERS COMP | $57.15 | ↑ +1103% |
| INTERGROUP | ALL PRODUCTS | $58.10 | ↑ +1123% |
| HORIZON | PIP | $62.25 | ↑ +1211% |
| BERGEN RISK | ALL PRODUCTS | $62.25 | ↑ +1211% |
| AETNA | ASA | $65.03 | ↑ +1269% |
| AETNA | PPO | $65.03 | ↑ +1269% |
| AETNA | HMO | $65.03 | ↑ +1269% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $65.57 | ↑ +1280% |
| CIGNA | BH | $66.40 | ↑ +1298% |
| CHN | ALL PRODUCTS | $70.55 | ↑ +1385% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $70.55 | ↑ +1385% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $70.55 | ↑ +1385% |
| QUALCARE | HMO | $73.21 | ↑ +1441% |
| QUALCARE | PPO | $73.21 | ↑ +1441% |
| QUALCARE | WORKERS COMP | $73.21 | ↑ +1441% |
| HORIZON | HMO | $79.05 | ↑ +1564% |
| HORIZON | INDEMNITY | $79.46 | ↑ +1573% |
| HORIZON | SHP | $79.96 | ↑ +1583% |
| HORIZON | FEDERAL | $80.94 | ↑ +1604% |
| HORIZON | PPO | $80.94 | ↑ +1604% |
| AMERIHEALTH | REGIONAL HMO | $83.00 | ↑ +1647% |
| AMERIHEALTH | LOCAL HMO | $83.00 | ↑ +1647% |
Visitor-reported prices
Comments
Susceptibility agar dilution per agent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5.23 | $2.23 – $22.52 |
| Cooperman Barnabas Medical Center | Livingston | $5.23 | $2.23 – $20.04 |
| Community Medical Center | Toms River | $5.23 | $2.23 – $20.04 |
| Clara Maass Medical Center | Belleville | $5.23 | $2.23 – $20.04 |
| Childrens Specialized Hospital | Mountainside | $17.00 | $3.80 – $3.91 |
| Newark Beth Israel Medical Center | Newark | $5.23 | $2.23 – $20.04 |
| Jersey City Medical Center | Jersey City | $5.23 | $2.23 – $20.04 |
| Monmouth Medical Center | Long Branch | $5.23 | $2.23 – $20.04 |