Synthetic sentence id test at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$46.22
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.
$107.00
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.
$19.26 with CLOVER vs $487.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $19.26 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $26.86 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $30.60 | ↓ -34% |
| OPTUM HEALTH | MANAGED MEDICAID | $36.98 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $46.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $46.22 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $46.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.53 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $52.97 | ↑ +15% |
| HORIZON | OMNIA | $70.07 | ↑ +52% |
| HORIZON | WORKERS COMP | $73.68 | ↑ +59% |
| INTERGROUP | ALL PRODUCTS | $74.90 | ↑ +62% |
| KARNA | MEDICARE ADVANTAGE | $77.70 | ↑ +68% |
| BERGEN RISK | ALL PRODUCTS | $80.25 | ↑ +74% |
| HORIZON | PIP | $80.25 | ↑ +74% |
| LHP HEALTH | ALL PRODUCTS | $84.53 | ↑ +83% |
| CIGNA | BH | $85.60 | ↑ +85% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.95 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $90.95 | ↑ +97% |
| CHN | ALL PRODUCTS | $90.95 | ↑ +97% |
| QUALCARE | PPO | $94.37 | ↑ +104% |
| QUALCARE | WORKERS COMP | $94.37 | ↑ +104% |
| QUALCARE | HMO | $94.37 | ↑ +104% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $96.30 | ↑ +108% |
| AETNA | ASA | $101.86 | ↑ +120% |
| AETNA | HMO | $101.86 | ↑ +120% |
| AETNA | PPO | $101.86 | ↑ +120% |
| HORIZON | HMO | $101.91 | ↑ +120% |
| HORIZON | INDEMNITY | $102.43 | ↑ +122% |
| HORIZON | SHP | $103.08 | ↑ +123% |
| CIGNA | PPO | $103.52 | ↑ +124% |
| CIGNA | HMO | $103.52 | ↑ +124% |
| HORIZON | PPO | $104.35 | ↑ +126% |
| HORIZON | FEDERAL | $104.35 | ↑ +126% |
| AMERIHEALTH | REGIONAL HMO | $107.00 | ↑ +132% |
| AMERIHEALTH | LOCAL HMO | $107.00 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $485.00 | ↑ +949% |
| UNITED HEALTHCARE | HMO | $487.00 | ↑ +954% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Synthetic sentence id test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $42.38 | $44.04 – $88.08 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $465.00 |
| Ocean University Medical Center | Brick | $42.90 | $39.25 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $39.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $43.44 – $443.00 |
| Palisades Medical Center | North Bergen | $46.22 | $46.22 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $43.48 – $92.50 |
| Riverview Medical Center | Red Bank | $43.44 | $43.44 – $465.00 |