Ultrasound dx ophth b-scan at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$125.23
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.
$440.00
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.
$65.17 with CIGNA vs $429.09 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 |
|---|---|---|---|
| CIGNA | HMO | $65.17 | ↓ -48% |
| CIGNA | PPO | $65.17 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -37% |
| HORIZON | MANAGED MEDICAID | $89.20 | ↓ -29% |
| KARNA | MEDICARE ADVANTAGE | $91.09 | ↓ -27% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $110.44 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.84 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $127.14 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| AETNA | ASA | $137.39 | ↑ +10% |
| AETNA | HMO | $137.39 | ↑ +10% |
| AETNA | PPO | $137.39 | ↑ +10% |
| AMERIHEALTH | LOCAL HMO | $181.46 | ↑ +45% |
| AMERIHEALTH | REGIONAL HMO | $181.46 | ↑ +45% |
| HORIZON | OMNIA | $288.16 | ↑ +130% |
| HORIZON | WORKERS COMP | $302.98 | ↑ +142% |
| INTERGROUP | ALL PRODUCTS | $308.00 | ↑ +146% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +164% |
| HORIZON | PIP | $330.00 | ↑ +164% |
| UNITED HEALTHCARE | HMO | $336.99 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $337.00 | ↑ +169% |
| LHP HEALTH | ALL PRODUCTS | $347.60 | ↑ +178% |
| CIGNA | BH | $352.00 | ↑ +181% |
| CHN | ALL PRODUCTS | $374.00 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +199% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $374.00 | ↑ +199% |
| QUALCARE | PPO | $388.08 | ↑ +210% |
| QUALCARE | HMO | $388.08 | ↑ +210% |
| QUALCARE | WORKERS COMP | $388.08 | ↑ +210% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $396.00 | ↑ +216% |
| HORIZON | HMO | $419.06 | ↑ +235% |
| HORIZON | INDEMNITY | $421.21 | ↑ +236% |
| HORIZON | SHP | $423.90 | ↑ +238% |
| HORIZON | FEDERAL | $429.09 | ↑ +243% |
| HORIZON | PPO | $429.09 | ↑ +243% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $95.17 | $31.94 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $66.50 – $295.04 |
| Ocean University Medical Center | Brick | $116.22 | $66.50 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $68.30 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $66.50 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $66.50 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $66.50 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $66.50 – $295.04 |