Vein x-ray eye socket at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$728.10
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.
$2,462.00
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.
$95.34 with HORIZON vs $2,462.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $95.34 | ↓ -87% |
| KARNA | MEDICARE ADVANTAGE | $207.57 | ↓ -71% |
| CIGNA | PPO | $284.19 | ↓ -61% |
| CIGNA | HMO | $284.19 | ↓ -61% |
| AETNA | PPO | $384.27 | ↓ -47% |
| AETNA | ASA | $384.27 | ↓ -47% |
| AETNA | HMO | $384.27 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $443.16 | ↓ -39% |
| OPTUM HEALTH | MANAGED MEDICAID | $582.48 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $617.96 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $704.13 | ↓ -3% |
| AETNA | MEDICARE ADVANTAGE | $726.47 | ↓ -0% |
| VACCN | ALL PRODUCTS | $728.10 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $728.10 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $728.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $728.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $728.10 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $728.10 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $764.51 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $1,231.00 | ↑ +69% |
| HORIZON | OMNIA | $1,612.36 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $1,674.96 | ↑ +130% |
| HORIZON | WORKERS COMP | $1,695.33 | ↑ +133% |
| INTERGROUP | ALL PRODUCTS | $1,723.40 | ↑ +137% |
| BERGEN RISK | ALL PRODUCTS | $1,846.50 | ↑ +154% |
| HORIZON | PIP | $1,846.50 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,944.98 | ↑ +167% |
| LHP HEALTH | ALL PRODUCTS | $1,944.98 | ↑ +167% |
| CIGNA | BH | $1,969.60 | ↑ +171% |
| CHN | ALL PRODUCTS | $2,092.70 | ↑ +187% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,092.70 | ↑ +187% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,092.70 | ↑ +187% |
| QUALCARE | HMO | $2,171.48 | ↑ +198% |
| QUALCARE | PPO | $2,171.48 | ↑ +198% |
| QUALCARE | WORKERS COMP | $2,171.48 | ↑ +198% |
| HORIZON | HMO | $2,344.81 | ↑ +222% |
| HORIZON | INDEMNITY | $2,356.87 | ↑ +224% |
| HORIZON | SHP | $2,371.89 | ↑ +226% |
| HORIZON | PPO | $2,400.94 | ↑ +230% |
| HORIZON | FEDERAL | $2,400.94 | ↑ +230% |
| AMERIHEALTH | REGIONAL HMO | $2,462.00 | ↑ +238% |
| AMERIHEALTH | LOCAL HMO | $2,462.00 | ↑ +238% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray eye socket at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $233.87 | $55.94 – $1,351.36 |
| Bayshore Medical Center | Holmdel | $684.33 | $71.75 – $1,466.44 |
| Ocean University Medical Center | Brick | $675.68 | $71.75 – $675.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $207.57 – $1,553.10 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $71.75 – $718.54 |
| Palisades Medical Center | North Bergen | $728.10 | $105.17 – $1,466.44 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $71.75 – $1,466.44 |
| Riverview Medical Center | Red Bank | $684.33 | $71.75 – $1,466.44 |