Transcatheter bx s&i 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.
$3,412.00
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.
$223.01 with HORIZON vs $3,412.00 with AMERIHEALTH — 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 | $223.01 | — |
| CLOVER | MEDICARE ADVANTAGE | $614.16 | — |
| OPTUM HEALTH | MANAGED MEDICAID | $750.64 | — |
| AETNA | MANAGED MEDICAID | $856.41 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $975.83 | — |
| AETNA | MEDICARE ADVANTAGE | $1,009.95 | — |
| KARNA | MEDICARE ADVANTAGE | $1,374.20 | — |
| OXFORD | ALL PRODUCTS | $1,706.00 | — |
| HORIZON | OMNIA | $2,234.52 | — |
| HORIZON | WORKERS COMP | $2,349.50 | — |
| INTERGROUP | ALL PRODUCTS | $2,388.40 | — |
| UNITED HEALTHCARE | HMO | $2,462.10 | — |
| BERGEN RISK | ALL PRODUCTS | $2,559.00 | — |
| HORIZON | PIP | $2,559.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,695.48 | — |
| LHP HEALTH | ALL PRODUCTS | $2,695.48 | — |
| CIGNA | BH | $2,729.60 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,900.20 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,900.20 | — |
| CHN | ALL PRODUCTS | $2,900.20 | — |
| QUALCARE | HMO | $3,009.38 | — |
| QUALCARE | PPO | $3,009.38 | — |
| QUALCARE | WORKERS COMP | $3,009.38 | — |
| AETNA | HMO | $3,248.22 | — |
| AETNA | ASA | $3,248.22 | — |
| AETNA | PPO | $3,248.22 | — |
| HORIZON | HMO | $3,249.59 | — |
| HORIZON | INDEMNITY | $3,266.31 | — |
| HORIZON | SHP | $3,287.12 | — |
| CIGNA | PPO | $3,301.11 | — |
| CIGNA | HMO | $3,301.11 | — |
| HORIZON | PPO | $3,327.38 | — |
| HORIZON | FEDERAL | $3,327.38 | — |
| AMERIHEALTH | LOCAL HMO | $3,412.00 | — |
| AMERIHEALTH | REGIONAL HMO | $3,412.00 | — |
| 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 | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Transcatheter bx s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $816.49 | $153.00 – $390.00 |
| Cooperman Barnabas Medical Center | Livingston | $901.21 | $246.00 – $1,258.00 |
| Community Medical Center | Toms River | $902.19 | $246.00 – $246.00 |
| Newark Beth Israel Medical Center | Newark | $885.89 | $157.50 – $1,258.00 |
| Jersey City Medical Center | Jersey City | $903.93 | $198.00 – $1,097.80 |
| Monmouth Medical Center | Long Branch | $951.78 | $246.00 – $1,258.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $293.05 | $246.00 – $246.00 |
| Monmouth Medical Center Southern Campus | Lakewood | $1,033.99 | $246.00 – $1,258.00 |