Unlisted ultrasound procedure at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$103.69
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.
$483.00
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.
$82.95 with OPTUM HEALTH vs $483.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $82.95 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $86.94 | ↓ -16% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $103.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $103.69 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $105.08 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $108.88 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $121.23 | ↑ +17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $138.14 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $241.50 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $250.18 | ↑ +141% |
| HORIZON | OMNIA | $316.32 | ↑ +205% |
| HORIZON | WORKERS COMP | $332.59 | ↑ +221% |
| INTERGROUP | ALL PRODUCTS | $338.10 | ↑ +226% |
| BERGEN RISK | ALL PRODUCTS | $362.25 | ↑ +249% |
| HORIZON | PIP | $362.25 | ↑ +249% |
| LHP HEALTH | ALL PRODUCTS | $381.57 | ↑ +268% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $381.57 | ↑ +268% |
| CIGNA | BH | $386.40 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $410.55 | ↑ +296% |
| CHN | ALL PRODUCTS | $410.55 | ↑ +296% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $410.55 | ↑ +296% |
| QUALCARE | PPO | $426.01 | ↑ +311% |
| QUALCARE | WORKERS COMP | $426.01 | ↑ +311% |
| QUALCARE | HMO | $426.01 | ↑ +311% |
| AETNA | ASA | $459.82 | ↑ +343% |
| AETNA | HMO | $459.82 | ↑ +343% |
| AETNA | PPO | $459.82 | ↑ +343% |
| HORIZON | HMO | $460.01 | ↑ +344% |
| HORIZON | INDEMNITY | $462.38 | ↑ +346% |
| HORIZON | SHP | $465.32 | ↑ +349% |
| CIGNA | HMO | $467.30 | ↑ +351% |
| CIGNA | PPO | $467.30 | ↑ +351% |
| HORIZON | PPO | $471.02 | ↑ +354% |
| HORIZON | FEDERAL | $471.02 | ↑ +354% |
| AMERIHEALTH | REGIONAL HMO | $483.00 | ↑ +366% |
| AMERIHEALTH | LOCAL HMO | $483.00 | ↑ +366% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $92.83 – $219.04 |
| Ocean University Medical Center | Brick | $96.23 | $88.05 – $219.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $219.04 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $92.83 – $106.23 |
| Palisades Medical Center | North Bergen | $103.69 | $103.69 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $92.83 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $92.83 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $92.83 – $104.89 |