X-ray hip with pelvis when performed bilateral >= 5 views 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.
$990.00
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.
$46.76 with HORIZON vs $965.45 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 | $46.76 | ↓ -63% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.19 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $120.13 | ↓ -4% |
| 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% |
| AETNA | PPO | $139.86 | ↑ +12% |
| AETNA | ASA | $139.86 | ↑ +12% |
| AETNA | HMO | $139.86 | ↑ +12% |
| CIGNA | PPO | $163.16 | ↑ +30% |
| CIGNA | HMO | $163.16 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $166.53 | ↑ +33% |
| AMERIHEALTH | REGIONAL HMO | $166.53 | ↑ +33% |
| CLOVER | MEDICARE ADVANTAGE | $178.20 | ↑ +42% |
| AETNA | MANAGED MEDICAID | $248.49 | ↑ +98% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $283.14 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $336.99 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $495.00 | ↑ +295% |
| HORIZON | OMNIA | $648.35 | ↑ +418% |
| HORIZON | WORKERS COMP | $681.71 | ↑ +444% |
| INTERGROUP | ALL PRODUCTS | $693.00 | ↑ +453% |
| BERGEN RISK | ALL PRODUCTS | $742.50 | ↑ +493% |
| HORIZON | PIP | $742.50 | ↑ +493% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $782.10 | ↑ +525% |
| LHP HEALTH | ALL PRODUCTS | $782.10 | ↑ +525% |
| CIGNA | BH | $792.00 | ↑ +532% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $841.50 | ↑ +572% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $841.50 | ↑ +572% |
| CHN | ALL PRODUCTS | $841.50 | ↑ +572% |
| QUALCARE | HMO | $873.18 | ↑ +597% |
| QUALCARE | PPO | $873.18 | ↑ +597% |
| QUALCARE | WORKERS COMP | $873.18 | ↑ +597% |
| HORIZON | HMO | $942.88 | ↑ +653% |
| HORIZON | INDEMNITY | $947.73 | ↑ +657% |
| HORIZON | SHP | $953.77 | ↑ +662% |
| HORIZON | FEDERAL | $965.45 | ↑ +671% |
| HORIZON | PPO | $965.45 | ↑ +671% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray hip with pelvis when performed bilateral >= 5 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $312.40 | $113.25 – $113.25 |
| Trinitas Regional Medical Center | Elizabeth | $163.86 | $32.30 – $244.70 |
| Cooperman Barnabas Medical Center | Livingston | $207.02 | $51.58 – $244.70 |
| Community Medical Center | Toms River | $181.06 | $51.58 – $244.70 |
| Clara Maass Medical Center | Belleville | $171.65 | $51.58 – $244.70 |
| Childrens Specialized Hospital | Mountainside | $222.00 | $31.45 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $203.50 | $33.25 – $244.70 |
| Jersey City Medical Center | Jersey City | $181.40 | $41.80 – $249.21 |