Tc-99m pentetate dtpa aerosol at Hackensack University Medical Center

30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 13, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$428.18

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$15.84 with CLOVER vs $214.09 with AMERIGROUP — 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 →

Payer
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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
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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 $15.84
OPTUM HEALTH MANAGED MEDICAID $19.36
AETNA MANAGED MEDICAID $22.09
SEOUL MEDICAL GROUP ALL PRODUCTS $25.17
AETNA MEDICARE ADVANTAGE $26.05
AMERIHEALTH LOCAL HMO $40.63
AMERIHEALTH REGIONAL HMO $45.14
UNITED HEALTHCARE HMO $49.72
OXFORD ALL PRODUCTS $49.72
HORIZON OMNIA $57.63
HORIZON WORKERS COMP $60.60
INTERGROUP ALL PRODUCTS $61.60
HORIZON PIP $66.00
BERGEN RISK ALL PRODUCTS $66.00
LHP HEALTH ALL PRODUCTS $69.52
CIGNA BH $70.40
CHN ALL PRODUCTS $74.80
ACTIVECARE FIRST MCO ALL PRODUCTS $74.80
MULTIPLAN - PHCS ALL PRODUCTS $74.80
QUALCARE HMO $77.62
QUALCARE WORKERS COMP $77.62
QUALCARE PPO $77.62
AETNA ASA $78.32
AETNA PPO $78.32
AETNA HMO $78.32
BRIGHTON HEALTH PLAN ALL PRODUCTS $79.20
HORIZON HMO $83.81
HORIZON INDEMNITY $84.24
HORIZON SHP $84.78
CIGNA PPO $85.14
CIGNA HMO $85.14
HORIZON FEDERAL $85.82
HORIZON PPO $85.82
HORIZON MANAGED MEDICAID $158.77
KARNA MEDICARE ADVANTAGE $179.56
WELLCARE MEDICARE ADVANTAGE $192.68
WELLCARE MANAGED MEDICAID $192.68
AMERIGROUP MANAGED MEDICAID $214.09
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE not published by hospital
VACCN ALL PRODUCTS not published by hospital
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE not published by hospital
HORIZON MEDICARE ADVANTAGE not published by hospital

Visitor-reported prices

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Tc-99m pentetate dtpa aerosol at other New-jersey hospitals

Hospital City Cash price Negotiated range
Trinitas Regional Medical Center Elizabeth not published $21.40 – $21.40
Cooperman Barnabas Medical Center Livingston not published $21.40 – $21.40
Community Medical Center Toms River not published $21.40 – $21.40
Clara Maass Medical Center Belleville not published $21.40 – $21.40
Newark Beth Israel Medical Center Newark not published $21.40 – $21.40
Jersey City Medical Center Jersey City not published $21.40 – $21.40
Monmouth Medical Center Long Branch not published $21.40 – $21.40
Bayshore Medical Center Holmdel not published not published

All New-jersey hospitals for this procedure →