X-ray exam of teeth 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.
$153.00
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.
$7.43 with HORIZON vs $250.18 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 | $7.43 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $24.87 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $27.54 | ↓ -73% |
| CIGNA | HMO | $27.63 | ↓ -73% |
| CIGNA | PPO | $27.63 | ↓ -73% |
| AMERIHEALTH | LOCAL HMO | $29.91 | ↓ -71% |
| AMERIHEALTH | REGIONAL HMO | $29.91 | ↓ -71% |
| AETNA | HMO | $30.54 | ↓ -71% |
| AETNA | ASA | $30.54 | ↓ -71% |
| AETNA | PPO | $30.54 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $38.40 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $43.76 | ↓ -58% |
| OXFORD | ALL PRODUCTS | $76.50 | ↓ -26% |
| OPTUM HEALTH | MANAGED MEDICAID | $82.95 | ↓ -20% |
| HORIZON | OMNIA | $100.20 | ↓ -3% |
| 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% |
| HORIZON | WORKERS COMP | $105.36 | ↑ +2% |
| INTERGROUP | ALL PRODUCTS | $107.10 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $108.88 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $114.75 | ↑ +11% |
| HORIZON | PIP | $114.75 | ↑ +11% |
| LHP HEALTH | ALL PRODUCTS | $120.87 | ↑ +17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $120.87 | ↑ +17% |
| CIGNA | BH | $122.40 | ↑ +18% |
| CHN | ALL PRODUCTS | $130.05 | ↑ +25% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $130.05 | ↑ +25% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $130.05 | ↑ +25% |
| QUALCARE | HMO | $134.95 | ↑ +30% |
| QUALCARE | PPO | $134.95 | ↑ +30% |
| QUALCARE | WORKERS COMP | $134.95 | ↑ +30% |
| HORIZON | HMO | $145.72 | ↑ +41% |
| HORIZON | INDEMNITY | $146.47 | ↑ +41% |
| HORIZON | SHP | $147.40 | ↑ +42% |
| HORIZON | PPO | $149.21 | ↑ +44% |
| HORIZON | FEDERAL | $149.21 | ↑ +44% |
| UNITED HEALTHCARE | HMO | $250.18 | ↑ +141% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of teeth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $19.84 – $219.04 |
| Ocean University Medical Center | Brick | $96.23 | $19.84 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $24.87 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $19.84 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $8.20 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $11.25 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $7.00 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $19.84 – $101.04 |