X-ray exam entire spi 6/> vw at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$125.23
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.
$550.00
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.
$66.86 with HORIZON vs $4,332.00 with BERGEN RISK — 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 | $66.86 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $99.00 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| AMERIHEALTH | LOCAL HMO | $119.64 | ↓ -4% |
| AMERIHEALTH | REGIONAL HMO | $119.64 | ↓ -4% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $127.14 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $138.05 | ↑ +10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.30 | ↑ +26% |
| KARNA | MEDICARE ADVANTAGE | $191.73 | ↑ +53% |
| AETNA | HMO | $207.41 | ↑ +66% |
| AETNA | ASA | $207.41 | ↑ +66% |
| AETNA | PPO | $207.41 | ↑ +66% |
| CIGNA | HMO | $273.28 | ↑ +118% |
| CIGNA | PPO | $273.28 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $336.99 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $336.99 | ↑ +169% |
| HORIZON | OMNIA | $360.20 | ↑ +188% |
| HORIZON | WORKERS COMP | $378.73 | ↑ +202% |
| INTERGROUP | ALL PRODUCTS | $385.00 | ↑ +207% |
| HORIZON | PIP | $412.50 | ↑ +229% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $434.50 | ↑ +247% |
| LHP HEALTH | ALL PRODUCTS | $434.50 | ↑ +247% |
| CIGNA | BH | $440.00 | ↑ +251% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $467.50 | ↑ +273% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $467.50 | ↑ +273% |
| QUALCARE | HMO | $485.10 | ↑ +287% |
| QUALCARE | PPO | $485.10 | ↑ +287% |
| QUALCARE | WORKERS COMP | $485.10 | ↑ +287% |
| HORIZON | HMO | $523.82 | ↑ +318% |
| HORIZON | INDEMNITY | $526.52 | ↑ +320% |
| HORIZON | SHP | $529.87 | ↑ +323% |
| HORIZON | FEDERAL | $536.36 | ↑ +328% |
| HORIZON | PPO | $536.36 | ↑ +328% |
| CHN | ALL PRODUCTS | $1,570.61 | ↑ +1154% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +3359% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam entire spi 6/> vw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.92 | $51.50 – $411.24 |
| Community Medical Center | Toms River | $180.02 | $73.75 – $411.24 |
| Childrens Specialized Hospital | Mountainside | $242.50 | $44.97 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $208.71 | $53.01 – $411.24 |
| Jersey City Medical Center | Jersey City | $180.37 | $66.65 – $411.24 |
| Monmouth Medical Center | Long Branch | $189.91 | $73.75 – $411.24 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $4,332.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $4,332.00 |