Tx atrial fib pulm vein isol at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$28,890.71
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.
$42,264.00
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.
$1,559.16 with KARNA vs $42,264.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,559.16 | ↓ -95% |
| CLOVER | MEDICARE ADVANTAGE | $7,607.52 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $10,608.26 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12,087.50 | ↓ -58% |
| HORIZON | MANAGED MEDICAID | $20,920.68 | ↓ -28% |
| AETNA | PPO | $21,229.00 | ↓ -27% |
| AETNA | ASA | $21,229.00 | ↓ -27% |
| AETNA | HMO | $21,229.00 | ↓ -27% |
| OPTUM HEALTH | MANAGED MEDICAID | $23,112.57 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $27,465.50 | ↓ -5% |
| HORIZON | OMNIA | $27,678.69 | ↓ -4% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $28,890.71 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $28,890.71 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $28,890.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $28,890.71 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $28,890.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $28,890.71 | ↑ +0% |
| HORIZON | WORKERS COMP | $29,102.99 | ↑ +1% |
| INTERGROUP | ALL PRODUCTS | $29,584.80 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $30,335.24 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $31,698.00 | ↑ +10% |
| HORIZON | PIP | $31,698.00 | ↑ +10% |
| LHP HEALTH | ALL PRODUCTS | $33,388.56 | ↑ +16% |
| CIGNA | BH | $33,811.20 | ↑ +17% |
| OXFORD | ALL PRODUCTS | $34,293.00 | ↑ +19% |
| UNITED HEALTHCARE | HMO | $34,786.00 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $35,924.40 | ↑ +24% |
| CHN | ALL PRODUCTS | $35,924.40 | ↑ +24% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $35,924.40 | ↑ +24% |
| QUALCARE | PPO | $37,276.85 | ↑ +29% |
| QUALCARE | WORKERS COMP | $37,276.85 | ↑ +29% |
| QUALCARE | HMO | $37,276.85 | ↑ +29% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $38,037.60 | ↑ +32% |
| HORIZON | HMO | $40,252.23 | ↑ +39% |
| HORIZON | INDEMNITY | $40,459.33 | ↑ +40% |
| HORIZON | SHP | $40,717.14 | ↑ +41% |
| CIGNA | HMO | $40,890.42 | ↑ +42% |
| CIGNA | PPO | $40,890.42 | ↑ +42% |
| HORIZON | PPO | $41,215.85 | ↑ +43% |
| HORIZON | FEDERAL | $41,215.85 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $42,264.00 | ↑ +46% |
| AMERIHEALTH | REGIONAL HMO | $42,264.00 | ↑ +46% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $10,116.10 | $27,523.28 – $55,046.56 |
| Clara Maass Medical Center | Belleville | $6,321.24 | $27,523.28 – $54,771.33 |
| Newark Beth Israel Medical Center | Newark | $9,944.24 | $480.04 – $55,046.56 |
| Jersey City Medical Center | Jersey City | $11,099.42 | $603.48 – $57,492.51 |
| Bayshore Medical Center | Holmdel | $27,153.82 | $27,153.82 – $32,584.59 |
| Ocean University Medical Center | Brick | $26,810.86 | $104.00 – $32,173.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27,177.37 | $104.00 – $27,177.37 |
| Jersey Shore University Medical Center | Neptune City | $27,153.82 | $1,523.86 – $32,584.59 |