Western blot test at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$17.03
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.
$342.00
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.
$13.62 with OPTUM HEALTH vs $233.37 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $13.62 | ↓ -20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.03 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.03 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.03 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.88 | ↑ +5% |
| LHP HEALTH | ALL PRODUCTS | $21.29 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $22.65 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $43.86 | ↑ +158% |
| AETNA | MANAGED MEDICAID | $44.18 | ↑ +159% |
| CIGNA | HMO | $76.47 | ↑ +349% |
| CIGNA | PPO | $76.47 | ↑ +349% |
| OXFORD | ALL PRODUCTS | $88.00 | ↑ +417% |
| UNITED HEALTHCARE | HMO | $99.44 | ↑ +484% |
| HORIZON | OMNIA | $115.26 | ↑ +577% |
| HORIZON | WORKERS COMP | $121.19 | ↑ +612% |
| INTERGROUP | ALL PRODUCTS | $123.20 | ↑ +623% |
| BERGEN RISK | ALL PRODUCTS | $132.00 | ↑ +675% |
| HORIZON | PIP | $132.00 | ↑ +675% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $139.04 | ↑ +716% |
| CIGNA | BH | $140.80 | ↑ +727% |
| CHN | ALL PRODUCTS | $149.60 | ↑ +778% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $149.60 | ↑ +778% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $149.60 | ↑ +778% |
| QUALCARE | WORKERS COMP | $155.23 | ↑ +812% |
| QUALCARE | PPO | $155.23 | ↑ +812% |
| QUALCARE | HMO | $155.23 | ↑ +812% |
| HORIZON | HMO | $167.62 | ↑ +884% |
| HORIZON | INDEMNITY | $168.48 | ↑ +889% |
| HORIZON | SHP | $169.56 | ↑ +896% |
| HORIZON | PPO | $171.64 | ↑ +908% |
| HORIZON | FEDERAL | $171.64 | ↑ +908% |
| AMERIHEALTH | REGIONAL HMO | $176.00 | ↑ +933% |
| AMERIHEALTH | LOCAL HMO | $176.00 | ↑ +933% |
| AETNA | HMO | $233.37 | ↑ +1270% |
| AETNA | ASA | $233.37 | ↑ +1270% |
| AETNA | PPO | $233.37 | ↑ +1270% |
Visitor-reported prices
Comments
Western blot test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $18.73 | $8.00 – $91.91 |
| Cooperman Barnabas Medical Center | Livingston | $18.73 | $8.00 – $69.43 |
| Community Medical Center | Toms River | $18.73 | $8.00 – $69.43 |
| Clara Maass Medical Center | Belleville | $18.73 | $8.00 – $69.43 |
| Newark Beth Israel Medical Center | Newark | $18.73 | $8.00 – $69.43 |
| Jersey City Medical Center | Jersey City | $18.73 | $8.00 – $69.43 |
| Monmouth Medical Center | Long Branch | $18.73 | $8.00 – $69.43 |
| Bayshore Medical Center | Holmdel | $17.03 | $17.03 – $78.04 |