X-ray exam of jaw joint 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.
$440.00
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.
$21.87 with HORIZON vs $429.09 with HORIZON — 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 | $21.87 | ↓ -79% |
| AMERIHEALTH | LOCAL HMO | $57.83 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $57.83 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $67.10 | ↓ -35% |
| AETNA | ASA | $73.52 | ↓ -29% |
| AETNA | HMO | $73.52 | ↓ -29% |
| AETNA | PPO | $73.52 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $82.95 | ↓ -20% |
| CIGNA | HMO | $90.58 | ↓ -13% |
| CIGNA | PPO | $90.58 | ↓ -13% |
| VACCN | ALL PRODUCTS | $103.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $103.69 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $105.08 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $108.88 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $110.44 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.84 | ↑ +21% |
| OXFORD | ALL PRODUCTS | $220.00 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $250.18 | ↑ +141% |
| HORIZON | OMNIA | $288.16 | ↑ +178% |
| HORIZON | WORKERS COMP | $302.98 | ↑ +192% |
| INTERGROUP | ALL PRODUCTS | $308.00 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +218% |
| HORIZON | PIP | $330.00 | ↑ +218% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $347.60 | ↑ +235% |
| LHP HEALTH | ALL PRODUCTS | $347.60 | ↑ +235% |
| CIGNA | BH | $352.00 | ↑ +239% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $374.00 | ↑ +261% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +261% |
| CHN | ALL PRODUCTS | $374.00 | ↑ +261% |
| QUALCARE | HMO | $388.08 | ↑ +274% |
| QUALCARE | PPO | $388.08 | ↑ +274% |
| QUALCARE | WORKERS COMP | $388.08 | ↑ +274% |
| HORIZON | HMO | $419.06 | ↑ +304% |
| HORIZON | INDEMNITY | $421.21 | ↑ +306% |
| HORIZON | SHP | $423.90 | ↑ +309% |
| HORIZON | PPO | $429.09 | ↑ +314% |
| HORIZON | FEDERAL | $429.09 | ↑ +314% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $274.60 | $18.05 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $309.37 | $24.12 – $197.58 |
| Community Medical Center | Toms River | $301.55 | $24.12 – $191.50 |
| Clara Maass Medical Center | Belleville | $290.19 | $24.12 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $303.70 | $18.59 – $197.58 |
| Jersey City Medical Center | Jersey City | $302.34 | $23.36 – $206.34 |
| Monmouth Medical Center | Long Branch | $318.57 | $24.12 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $36.37 – $219.04 |