Unlisted orl service/px at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$28.84
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.
$101.00
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.
$18.18 with CLOVER vs $18,693.00 with AETNA — 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 | $18.18 | ↓ -37% |
| OPTUM HEALTH | MANAGED MEDICAID | $23.07 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $25.35 | ↓ -12% |
| WELLCARE | MANAGED MEDICAID | $28.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $28.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $28.84 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $28.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $30.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $34.43 | ↑ +19% |
| HORIZON | OMNIA | $66.14 | ↑ +129% |
| INTERGROUP | ALL PRODUCTS | $70.70 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $72.88 | ↑ +153% |
| OXFORD | ALL PRODUCTS | $74.20 | ↑ +157% |
| BERGEN RISK | ALL PRODUCTS | $75.75 | ↑ +163% |
| HORIZON | PIP | $75.75 | ↑ +163% |
| CIGNA | BH | $80.80 | ↑ +180% |
| LHP HEALTH | ALL PRODUCTS | $82.82 | ↑ +187% |
| CHN | ALL PRODUCTS | $85.85 | ↑ +198% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $85.85 | ↑ +198% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $85.85 | ↑ +198% |
| QUALCARE | WORKERS COMP | $89.89 | ↑ +212% |
| QUALCARE | PPO | $89.89 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $90.90 | ↑ +215% |
| CIGNA | PPO | $91.85 | ↑ +218% |
| CIGNA | HMO | $91.85 | ↑ +218% |
| HORIZON | HMO | $96.19 | ↑ +234% |
| HORIZON | INDEMNITY | $96.69 | ↑ +235% |
| HORIZON | SHP | $97.30 | ↑ +237% |
| HORIZON | PPO | $98.50 | ↑ +242% |
| HORIZON | FEDERAL | $98.50 | ↑ +242% |
| HORIZON | MANAGED MEDICAID | $2,728.00 | ↑ +9359% |
| QUALCARE | HMO | $7,712.00 | ↑ +26641% |
| AMERIHEALTH | LOCAL HMO | $8,013.00 | ↑ +27684% |
| AMERIHEALTH | REGIONAL HMO | $8,904.00 | ↑ +30774% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +58159% |
| AETNA | HMO | $18,693.00 | ↑ +64716% |
| AETNA | PPO | $18,693.00 | ↑ +64716% |
| AETNA | ASA | $18,693.00 | ↑ +64716% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted orl service/px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $32.12 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $32.53 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $32.56 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $32.53 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $32.12 |