Tx closed distal humerus fx at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$282.50
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.
$718.00
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.
$129.24 with CLOVER vs $16,802.00 with HORIZON — 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 | $129.24 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $180.22 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $205.35 | ↓ -27% |
| OPTUM HEALTH | MANAGED MEDICAID | $226.00 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $272.71 | ↓ -3% |
| VACCN | ALL PRODUCTS | $282.50 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $282.50 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $282.50 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $282.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $282.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $282.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $296.62 | ↑ +5% |
| HORIZON | OMNIA | $470.22 | ↑ +66% |
| INTERGROUP | ALL PRODUCTS | $502.60 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $538.50 | ↑ +91% |
| HORIZON | PIP | $538.50 | ↑ +91% |
| CIGNA | BH | $574.40 | ↑ +103% |
| LHP HEALTH | ALL PRODUCTS | $588.76 | ↑ +108% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $610.30 | ↑ +116% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $610.30 | ↑ +116% |
| CHN | ALL PRODUCTS | $610.30 | ↑ +116% |
| QUALCARE | WORKERS COMP | $639.02 | ↑ +126% |
| QUALCARE | PPO | $639.02 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $646.20 | ↑ +129% |
| CIGNA | PPO | $652.95 | ↑ +131% |
| CIGNA | HMO | $652.95 | ↑ +131% |
| HORIZON | HMO | $683.82 | ↑ +142% |
| HORIZON | INDEMNITY | $687.34 | ↑ +143% |
| HORIZON | SHP | $691.72 | ↑ +145% |
| HORIZON | PPO | $700.19 | ↑ +148% |
| HORIZON | FEDERAL | $700.19 | ↑ +148% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +866% |
| OXFORD | ALL PRODUCTS | $3,205.00 | ↑ +1035% |
| UNITED HEALTHCARE | HMO | $3,756.00 | ↑ +1230% |
| QUALCARE | HMO | $7,712.00 | ↑ +2630% |
| AETNA | ASA | $7,773.00 | ↑ +2652% |
| AETNA | PPO | $7,773.00 | ↑ +2652% |
| AETNA | HMO | $7,773.00 | ↑ +2652% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +2736% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +3052% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +5848% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed distal humerus fx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $524.32 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $265.51 – $528.36 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $318.62 |