X-ray exam of mastoids 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.
$336.00
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.
$25.60 with HORIZON vs $336.99 with UNITED HEALTHCARE — 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 | $25.60 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $60.48 | ↓ -52% |
| AMERIHEALTH | LOCAL HMO | $65.80 | ↓ -47% |
| AMERIHEALTH | REGIONAL HMO | $65.80 | ↓ -47% |
| KARNA | MEDICARE ADVANTAGE | $74.33 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $84.34 | ↓ -33% |
| AETNA | PPO | $84.59 | ↓ -32% |
| AETNA | ASA | $84.59 | ↓ -32% |
| AETNA | HMO | $84.59 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $96.10 | ↓ -23% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| CIGNA | PPO | $102.67 | ↓ -18% |
| CIGNA | HMO | $102.67 | ↓ -18% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $127.14 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $168.00 | ↑ +34% |
| HORIZON | OMNIA | $220.05 | ↑ +76% |
| HORIZON | WORKERS COMP | $231.37 | ↑ +85% |
| INTERGROUP | ALL PRODUCTS | $235.20 | ↑ +88% |
| HORIZON | PIP | $252.00 | ↑ +101% |
| BERGEN RISK | ALL PRODUCTS | $252.00 | ↑ +101% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $265.44 | ↑ +112% |
| LHP HEALTH | ALL PRODUCTS | $265.44 | ↑ +112% |
| CIGNA | BH | $268.80 | ↑ +115% |
| CHN | ALL PRODUCTS | $285.60 | ↑ +128% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $285.60 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $285.60 | ↑ +128% |
| QUALCARE | HMO | $296.35 | ↑ +137% |
| QUALCARE | PPO | $296.35 | ↑ +137% |
| QUALCARE | WORKERS COMP | $296.35 | ↑ +137% |
| HORIZON | HMO | $320.01 | ↑ +156% |
| HORIZON | INDEMNITY | $321.65 | ↑ +157% |
| HORIZON | SHP | $323.70 | ↑ +158% |
| HORIZON | PPO | $327.67 | ↑ +162% |
| HORIZON | FEDERAL | $327.67 | ↑ +162% |
| UNITED HEALTHCARE | HMO | $336.99 | ↑ +169% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $58.18 | $19.99 – $232.44 |
| Childrens Specialized Hospital | Mountainside | $120.50 | $17.22 – $655.00 |
| Jersey City Medical Center | Jersey City | $64.41 | $25.87 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $58.70 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $46.88 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $28.24 – $295.04 |