Virus isolation addl studies ea at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$20.20
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.
?
What you pay up front if you don't use insurance.
$433.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.92 with HORIZON vs $276.82 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.92 | ↓ -56% |
| OPTUM HEALTH | MANAGED MEDICAID | $16.16 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $20.20 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $20.20 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $20.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $20.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $21.21 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $25.25 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $26.87 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $27.11 | ↑ +34% |
| OXFORD | ALL PRODUCTS | $54.00 | ↑ +167% |
| UNITED HEALTHCARE | HMO | $61.02 | ↑ +202% |
| HORIZON | OMNIA | $70.73 | ↑ +250% |
| HORIZON | WORKERS COMP | $74.37 | ↑ +268% |
| INTERGROUP | ALL PRODUCTS | $75.60 | ↑ +274% |
| BERGEN RISK | ALL PRODUCTS | $81.00 | ↑ +301% |
| HORIZON | PIP | $81.00 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $85.32 | ↑ +322% |
| CIGNA | BH | $86.40 | ↑ +328% |
| CIGNA | PPO | $90.71 | ↑ +349% |
| CIGNA | HMO | $90.71 | ↑ +349% |
| CHN | ALL PRODUCTS | $91.80 | ↑ +354% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $91.80 | ↑ +354% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $91.80 | ↑ +354% |
| QUALCARE | WORKERS COMP | $95.26 | ↑ +372% |
| QUALCARE | PPO | $95.26 | ↑ +372% |
| QUALCARE | HMO | $95.26 | ↑ +372% |
| HORIZON | HMO | $102.86 | ↑ +409% |
| HORIZON | INDEMNITY | $103.39 | ↑ +412% |
| HORIZON | SHP | $104.05 | ↑ +415% |
| HORIZON | PPO | $105.32 | ↑ +421% |
| HORIZON | FEDERAL | $105.32 | ↑ +421% |
| AMERIHEALTH | REGIONAL HMO | $108.00 | ↑ +435% |
| AMERIHEALTH | LOCAL HMO | $108.00 | ↑ +435% |
| AETNA | HMO | $276.82 | ↑ +1270% |
| AETNA | ASA | $276.82 | ↑ +1270% |
| AETNA | PPO | $276.82 | ↑ +1270% |
Visitor-reported prices
Comments
Virus isolation addl studies ea at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $22.22 | $6.12 – $84.60 |
| Cooperman Barnabas Medical Center | Livingston | $22.22 | $9.49 – $82.79 |
| Community Medical Center | Toms River | $22.22 | $9.49 – $82.79 |
| Clara Maass Medical Center | Belleville | $22.22 | $9.49 – $82.79 |
| Newark Beth Israel Medical Center | Newark | $22.22 | $9.49 – $82.79 |
| Jersey City Medical Center | Jersey City | $22.22 | $7.92 – $82.79 |
| Monmouth Medical Center | Long Branch | $22.22 | $9.49 – $82.79 |
| Bayshore Medical Center | Holmdel | $20.20 | $20.20 – $92.56 |