Tib/per revasc stnt & ather at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
not published by hospital
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.
$14,293.00
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.
$743.62 with KARNA vs $29,297.00 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 | $743.62 | — |
| CLOVER | MEDICARE ADVANTAGE | $2,572.74 | — |
| OPTUM HEALTH | MANAGED MEDICAID | $3,144.46 | — |
| AETNA | MANAGED MEDICAID | $3,587.54 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,087.80 | — |
| AETNA | MEDICARE ADVANTAGE | $4,230.73 | — |
| LHP HEALTH | ALL PRODUCTS | $6,044.00 | — |
| HORIZON | MANAGED MEDICAID | $7,075.04 | — |
| AETNA | ASA | $7,773.00 | — |
| AETNA | PPO | $7,773.00 | — |
| AETNA | HMO | $7,773.00 | — |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | — |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | — |
| HORIZON | OMNIA | $9,360.49 | — |
| INTERGROUP | ALL PRODUCTS | $10,005.10 | — |
| HORIZON | PIP | $10,719.75 | — |
| BERGEN RISK | ALL PRODUCTS | $10,719.75 | — |
| CIGNA | BH | $11,434.40 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $12,149.05 | — |
| CHN | ALL PRODUCTS | $12,149.05 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,149.05 | — |
| QUALCARE | HMO | $12,606.43 | — |
| QUALCARE | WORKERS COMP | $12,720.77 | — |
| QUALCARE | PPO | $12,720.77 | — |
| HORIZON | HMO | $13,612.65 | — |
| HORIZON | INDEMNITY | $13,682.69 | — |
| HORIZON | SHP | $13,769.88 | — |
| HORIZON | FEDERAL | $13,938.53 | — |
| HORIZON | PPO | $13,938.53 | — |
| CIGNA | HMO | $15,091.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,374.00 | — |
| HORIZON | WORKERS COMP | $16,802.00 | — |
| CIGNA | PPO | $20,078.00 | — |
| OXFORD | ALL PRODUCTS | $21,696.00 | — |
| UNITED HEALTHCARE | HMO | $29,297.00 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,084.06 – $5,580.60 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $7,582.94 – $7,582.94 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,922.63 – $2,799.57 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $3,578.26 – $3,578.26 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $2,143.61 – $2,799.57 |
| Trinitas Regional Medical Center | Elizabeth | not published | $2,024.52 – $4,869.28 |
| Cooperman Barnabas Medical Center | Livingston | not published | $3,077.67 – $3,077.67 |
| Community Medical Center | Toms River | not published | $3,151.83 – $3,151.83 |