X-ray nose to rectum for foreign body child 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.
$310.00
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.
$22.30 with HORIZON vs $302.31 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 | $22.30 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $55.80 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $56.59 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $57.83 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $57.83 | ↓ -44% |
| AETNA | ASA | $58.77 | ↓ -43% |
| AETNA | PPO | $58.77 | ↓ -43% |
| AETNA | HMO | $58.77 | ↓ -43% |
| CIGNA | HMO | $73.62 | ↓ -29% |
| CIGNA | PPO | $73.62 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $77.81 | ↓ -25% |
| OPTUM HEALTH | MANAGED MEDICAID | $82.95 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.66 | ↓ -14% |
| 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% |
| OXFORD | ALL PRODUCTS | $155.00 | ↑ +49% |
| HORIZON | OMNIA | $203.02 | ↑ +96% |
| HORIZON | WORKERS COMP | $213.47 | ↑ +106% |
| INTERGROUP | ALL PRODUCTS | $217.00 | ↑ +109% |
| BERGEN RISK | ALL PRODUCTS | $232.50 | ↑ +124% |
| HORIZON | PIP | $232.50 | ↑ +124% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $244.90 | ↑ +136% |
| LHP HEALTH | ALL PRODUCTS | $244.90 | ↑ +136% |
| CIGNA | BH | $248.00 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $250.18 | ↑ +141% |
| CHN | ALL PRODUCTS | $263.50 | ↑ +154% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $263.50 | ↑ +154% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $263.50 | ↑ +154% |
| QUALCARE | PPO | $273.42 | ↑ +164% |
| QUALCARE | WORKERS COMP | $273.42 | ↑ +164% |
| QUALCARE | HMO | $273.42 | ↑ +164% |
| HORIZON | HMO | $295.24 | ↑ +185% |
| HORIZON | INDEMNITY | $296.76 | ↑ +186% |
| HORIZON | SHP | $298.65 | ↑ +188% |
| HORIZON | FEDERAL | $302.31 | ↑ +192% |
| HORIZON | PPO | $302.31 | ↑ +192% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $63.06 | $15.25 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $51.70 | $24.60 – $197.58 |
| Community Medical Center | Toms River | $69.68 | $24.60 – $191.50 |
| Clara Maass Medical Center | Belleville | $51.71 | $24.60 – $196.59 |
| Jersey City Medical Center | Jersey City | $69.82 | $19.73 – $206.34 |
| Monmouth Medical Center | Long Branch | $73.51 | $24.60 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $38.52 – $219.04 |
| Ocean University Medical Center | Brick | $96.23 | $38.52 – $96.23 |