Ther/proph/diag inj ia at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$248.12
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.
$410.00
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.
$33.00 with KARNA vs $1,323.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $33.00 | ↓ -87% |
| CLOVER | MEDICARE ADVANTAGE | $73.80 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $102.91 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $117.26 | ↓ -53% |
| OPTUM HEALTH | MANAGED MEDICAID | $198.50 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $202.95 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $247.87 | ↓ -0% |
| WELLCARE | MANAGED MEDICAID | $248.12 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $248.12 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $248.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $248.12 | ↑ +0% |
| VACCN | ALL PRODUCTS | $248.12 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $248.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $260.53 | ↑ +5% |
| HORIZON | OMNIA | $268.51 | ↑ +8% |
| HORIZON | WORKERS COMP | $282.33 | ↑ +14% |
| INTERGROUP | ALL PRODUCTS | $287.00 | ↑ +16% |
| BERGEN RISK | ALL PRODUCTS | $307.50 | ↑ +24% |
| HORIZON | PIP | $307.50 | ↑ +24% |
| LHP HEALTH | ALL PRODUCTS | $323.90 | ↑ +31% |
| CIGNA | BH | $328.00 | ↑ +32% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $348.50 | ↑ +40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $348.50 | ↑ +40% |
| CHN | ALL PRODUCTS | $348.50 | ↑ +40% |
| QUALCARE | PPO | $361.62 | ↑ +46% |
| QUALCARE | WORKERS COMP | $361.62 | ↑ +46% |
| QUALCARE | HMO | $361.62 | ↑ +46% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $369.00 | ↑ +49% |
| AETNA | ASA | $390.32 | ↑ +57% |
| AETNA | HMO | $390.32 | ↑ +57% |
| AETNA | PPO | $390.32 | ↑ +57% |
| HORIZON | HMO | $390.48 | ↑ +57% |
| HORIZON | INDEMNITY | $392.49 | ↑ +58% |
| HORIZON | SHP | $394.99 | ↑ +59% |
| CIGNA | PPO | $396.68 | ↑ +60% |
| CIGNA | HMO | $396.68 | ↑ +60% |
| HORIZON | PPO | $399.83 | ↑ +61% |
| HORIZON | FEDERAL | $399.83 | ↑ +61% |
| AMERIHEALTH | REGIONAL HMO | $410.00 | ↑ +65% |
| AMERIHEALTH | LOCAL HMO | $410.00 | ↑ +65% |
| OXFORD | ALL PRODUCTS | $1,193.00 | ↑ +381% |
| UNITED HEALTHCARE | HMO | $1,323.00 | ↑ +433% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $78.27 | $9.65 – $460.52 |
| Cooperman Barnabas Medical Center | Livingston | $121.84 | $9.70 – $472.76 |
| Community Medical Center | Toms River | $86.48 | $9.70 – $458.22 |
| Clara Maass Medical Center | Belleville | $66.03 | $9.70 – $470.40 |
| Newark Beth Israel Medical Center | Newark | $119.77 | $9.70 – $472.76 |
| Jersey City Medical Center | Jersey City | $86.65 | $9.70 – $493.76 |
| Monmouth Medical Center | Long Branch | $91.23 | $9.70 – $464.07 |
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |