healthcosts.net
Total Knee Replacement at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$15,152.74
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.
$14,508.00
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.
$2,611.44 with CLOVER vs $30,778.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $2,611.44 | ↓ -83% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $2,742.14 | ↓ -82% |
| OPTUM HEALTH | MANAGED MEDICAID | $3,191.76 | ↓ -79% |
| LHP HEALTH | ALL PRODUCTS | $3,548.00 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $3,641.51 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,149.29 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $4,294.37 | ↓ -72% |
| CHN | ALL PRODUCTS | $7,057.81 | ↓ -53% |
| QUALCARE | HMO | $7,712.00 | ↓ -49% |
| AETNA | PPO | $7,773.00 | ↓ -49% |
| AETNA | ASA | $7,773.00 | ↓ -49% |
| AETNA | HMO | $7,773.00 | ↓ -49% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↓ -47% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,539.00 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↓ -41% |
| HORIZON | OMNIA | $9,501.29 | ↓ -37% |
| INTERGROUP | ALL PRODUCTS | $10,155.60 | ↓ -33% |
| HORIZON | PIP | $10,881.00 | ↓ -28% |
| BERGEN RISK | ALL PRODUCTS | $10,881.00 | ↓ -28% |
| CIGNA | BH | $11,606.40 | ↓ -23% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,331.80 | ↓ -19% |
| QUALCARE | WORKERS COMP | $12,912.12 | ↓ -15% |
| QUALCARE | PPO | $12,912.12 | ↓ -15% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,057.20 | ↓ -14% |
| HORIZON | HMO | $13,817.42 | ↓ -9% |
| HORIZON | INDEMNITY | $13,888.51 | ↓ -8% |
| HORIZON | SHP | $13,977.01 | ↓ -8% |
| HORIZON | FEDERAL | $14,148.20 | ↓ -7% |
| HORIZON | PPO | $14,148.20 | ↓ -7% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $15,152.74 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $15,152.74 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $15,152.74 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $15,152.74 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15,152.74 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $15,152.74 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15,910.38 | ↑ +5% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +11% |
| CIGNA | PPO | $21,225.00 | ↑ +40% |
| CIGNA | HMO | $21,225.00 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $25,336.00 | ↑ +67% |
| UNITED HEALTHCARE | HMO | $30,778.00 | ↑ +103% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Total Knee Replacement at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $14,241.77 | $2,875.08 – $17,090.12 |
| Ocean University Medical Center | Brick | $14,061.89 | $2,489.40 – $22,177.73 |