X-ray exam of middle ear at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$645.71
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.
$1,320.00
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.
$40.88 with HORIZON vs $1,493.34 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 | $40.88 | ↓ -94% |
| AMERIHEALTH | LOCAL HMO | $91.73 | ↓ -86% |
| AMERIHEALTH | REGIONAL HMO | $91.73 | ↓ -86% |
| AETNA | ASA | $117.75 | ↓ -82% |
| AETNA | PPO | $117.75 | ↓ -82% |
| AETNA | HMO | $117.75 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $120.02 | ↓ -81% |
| CIGNA | HMO | $149.85 | ↓ -77% |
| CIGNA | PPO | $149.85 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $237.60 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $331.32 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $377.52 | ↓ -42% |
| OPTUM HEALTH | MANAGED MEDICAID | $516.57 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $637.97 | ↓ -1% |
| VACCN | ALL PRODUCTS | $645.71 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $645.71 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $660.00 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $678.00 | ↑ +5% |
| HORIZON | OMNIA | $864.47 | ↑ +34% |
| HORIZON | WORKERS COMP | $908.95 | ↑ +41% |
| INTERGROUP | ALL PRODUCTS | $924.00 | ↑ +43% |
| BERGEN RISK | ALL PRODUCTS | $990.00 | ↑ +53% |
| HORIZON | PIP | $990.00 | ↑ +53% |
| LHP HEALTH | ALL PRODUCTS | $1,042.80 | ↑ +61% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,042.80 | ↑ +61% |
| CIGNA | BH | $1,056.00 | ↑ +64% |
| CHN | ALL PRODUCTS | $1,122.00 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,122.00 | ↑ +74% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,122.00 | ↑ +74% |
| QUALCARE | HMO | $1,164.24 | ↑ +80% |
| QUALCARE | PPO | $1,164.24 | ↑ +80% |
| QUALCARE | WORKERS COMP | $1,164.24 | ↑ +80% |
| HORIZON | HMO | $1,257.17 | ↑ +95% |
| HORIZON | INDEMNITY | $1,263.64 | ↑ +96% |
| HORIZON | SHP | $1,271.69 | ↑ +97% |
| HORIZON | PPO | $1,287.26 | ↑ +99% |
| HORIZON | FEDERAL | $1,287.26 | ↑ +99% |
| UNITED HEALTHCARE | HMO | $1,493.34 | ↑ +131% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $606.89 | $55.36 – $1,307.42 |
| Ocean University Medical Center | Brick | $599.23 | $55.36 – $599.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $81.82 – $1,384.69 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $55.36 – $637.24 |
| Palisades Medical Center | North Bergen | $645.71 | $45.10 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $55.36 – $1,307.42 |
| Riverview Medical Center | Red Bank | $606.89 | $38.50 – $1,307.42 |
| Southern Ocean Medical Center | Manahawkin | $599.23 | $55.36 – $629.19 |