Tbs techl calculation only at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$103.69
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.
$259.00
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.
$19.45 with HORIZON vs $255.47 with UNITED HEALTHCARE — 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 | $19.45 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $46.62 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $65.01 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $74.07 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $82.95 | ↓ -20% |
| AETNA | ASA | $99.58 | ↓ -4% |
| AETNA | PPO | $99.58 | ↓ -4% |
| AETNA | HMO | $99.58 | ↓ -4% |
| VACCN | ALL PRODUCTS | $103.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $103.69 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $105.08 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $108.88 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $129.50 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $149.55 | ↑ +44% |
| AMERIHEALTH | REGIONAL HMO | $149.55 | ↑ +44% |
| HORIZON | OMNIA | $169.62 | ↑ +64% |
| HORIZON | WORKERS COMP | $178.35 | ↑ +72% |
| INTERGROUP | ALL PRODUCTS | $181.30 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $194.25 | ↑ +87% |
| HORIZON | PIP | $194.25 | ↑ +87% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $204.61 | ↑ +97% |
| LHP HEALTH | ALL PRODUCTS | $204.61 | ↑ +97% |
| CIGNA | BH | $207.20 | ↑ +100% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $220.15 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $220.15 | ↑ +112% |
| CHN | ALL PRODUCTS | $220.15 | ↑ +112% |
| QUALCARE | PPO | $228.44 | ↑ +120% |
| QUALCARE | HMO | $228.44 | ↑ +120% |
| QUALCARE | WORKERS COMP | $228.44 | ↑ +120% |
| HORIZON | HMO | $246.67 | ↑ +138% |
| HORIZON | INDEMNITY | $247.94 | ↑ +139% |
| HORIZON | SHP | $249.52 | ↑ +141% |
| CIGNA | PPO | $250.58 | ↑ +142% |
| CIGNA | HMO | $250.58 | ↑ +142% |
| HORIZON | PPO | $252.58 | ↑ +144% |
| HORIZON | FEDERAL | $252.58 | ↑ +144% |
| UNITED HEALTHCARE | HMO | $255.47 | ↑ +146% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tbs techl calculation only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $53.98 – $223.67 |
| Ocean University Medical Center | Brick | $96.23 | $53.98 – $149.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $236.88 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $53.98 – $146.61 |
| Palisades Medical Center | North Bergen | $103.69 | $21.46 – $223.67 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $29.43 – $223.67 |
| Riverview Medical Center | Red Bank | $97.46 | $18.31 – $223.67 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $53.98 – $149.18 |