How many shoppable procedure prices are published for Hackensack University Medical Center?

Hackensack University Medical Center in Hackensack, NJ currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hackensack University Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hackensack University Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Hackensack University Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Hackensack University Medical Center an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 769 Beds · urban Updated: 2025-12-31

Hackensack University Medical Center

30 Prospect Ave, Hackensack, NJ 07601 · 129 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.35×vs. Fair Market Price

Typical commercial prices here are +35% above the fair benchmark (1.35×) even after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 95% of the Time

File Completeness85

Price Logic86

Peer Alignment71

Clean Billing96

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.35× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Hackensack University Medical Center maintains elevated commercial insurance contracts (1.35× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 95% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#45 of 52 in NJ · 84th State Percentile#2,362 of 3,385 in U.S. · 69th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 95% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 74% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.35× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.11× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.37×) jump +23% above the median procedure ratio (Q50 1.11×)
Unnegotiated chargemaster list prices average 10.2× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+23% Upper Tail

Q25 0.97× · Q50 1.11× · Q75 1.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

95% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 70/100Fair

Procedure Prices at Hackensack University Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$43,762	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$39,572	$19,432	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,481	$30,775	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,194	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$18,065	$8,223	unverified
Total hip replacement CPT Code: `27130`	$15,153	$15,153	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,871	$7,214	$6,109	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$5,736	$2,975	1.9×
Breast lump removal CPT Code: `19120`	$4,510	$4,735	$3,875	1.2×
Inguinal hernia repair CPT Code: `49505`	$4,156	$4,364	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,821	$4,012	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	$3,821	$4,012	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,686	$2,820	$2,540	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$816	$2,728	$855	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	—	$2,680	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,389	$2,093	$1,256	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,104	$1,944	$987	2.0×
Trauma team activation HCPCS Code: `G0390`	$1,558	$1,558	$1,453	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,198	$1,198	$1,021	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,074	$1,127	$981	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$421	$907	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$646	$642	$583	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$421	$632	$448	unverified
MRI, brain (no contrast) CPT Code: `70551`	$285	$542	$343	unverified
Blood transfusion CPT Code: `36430`	$515	$515	$498	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$285	$514	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$285	$537	$369	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$521	$123	unverified
Psychological testing by technician CPT Code: `96138`	$470	$470	$395	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$210	$396	$258	unverified
Neurobehavioral status check CPT Code: `96116`	$367	$367	$231	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$285	$334	$303	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$210	$328	$242	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$285	$292	$272	1.1×
CT scan, sinuses CPT Code: `70486`	$125	$299	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$125	$299	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$125	$297	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$125	$296	$168	unverified
Rabies immune globulin HCPCS Code: `90375`	$266	$266	$322	0.8×
CT scan, pelvis CPT Code: `72192`	$125	$289	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$208	$218	$148	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$240	$240	$201	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$125	$231	$160	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$194	$25	7.8×
Review of medical records for care CPT Code: `90889`	—	$202	$114	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$125	$227	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$125	$185	$130	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$169	$169	$123	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$189	$189	$166	1.1×
Family therapy session CPT Code: `90847`	$189	$189	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$189	$194	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$189	$194	$185	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$125	$180	$132	unverified
Psychological testing evaluation CPT Code: `96136`	$152	$152	$128	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$125	$166	$126	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$98	$101	$86	1.2×
Care planning with family CPT Code: `90887`	—	$121	$107	1.1×
X-ray, hip CPT Code: `73502`	$104	$104	$93	1.1×
Group therapy session CPT Code: `90853`	$109	$109	$100	1.1×
X-ray, lower back CPT Code: `72110`	$125	$121	$112	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$131	$131	$151	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$104	$82	$93	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$312	$312	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$178	$140	1.3×
Drug screening test HCPCS Code: `G0480`	$114	$114	$116	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$136	$203	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$97	$111	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$55	$33	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$57	$35	1.6×
Physical therapy (gait training) CPT Code: `97116`	$37	$50	$33	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$50	$35	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$41	$54	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$54	$38	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$35	$47	$34	1.4×
Speech therapy (group session) CPT Code: `92508`	$30	$37	$27	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$54	$40	1.4×
Orthotic fitting and training CPT Code: `97760`	$60	$63	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$52	$55	$45	1.2×
Blood antibody screen CPT Code: `86850`	$63	$52	$46	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$54	$54	$48	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$71	$64	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$44	$38	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	—	$41	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$43	$39	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$54	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$54	$54	$49	1.1×
X-ray, ankle CPT Code: `73610`	$104	$78	$93	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$51	$56	0.9×
X-ray, hand CPT Code: `73130`	$104	$76	$93	0.8×
X-ray, foot CPT Code: `73630`	$104	$71	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$104	$68	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$104	$67	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$125	$68	$110	0.6×
X-ray, chest (single view) CPT Code: `71045`	$104	$54	$92	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$16	$14	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$30	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$7	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$14	$15	$15	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$27	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$6	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.2%

Audit a Bill or Quote at Hackensack University Medical Center (Zero PHI Required)

CMS CCN: 310001

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $43,762

1. Amount on Your Bill or Quote ($) Pre-filled with Hackensack University Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $57,976 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $57,976

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.2% of gross = $57,976).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Hackensack University Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$85,942 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($105,029) is $85,942 above the denoised Fair BaseRate ($19,087) and 7.4× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 221487576

Filing Period: 199609

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (55.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait197 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hackensack University Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-19·administrative_or_closure
Met Requirements
Recorded
2024-05-24·administrative_or_closure
Closure Notice
Recorded
2024-02-21·warning_notice
Warning Notice
Recorded
2022-10-06·administrative_or_closure
Closure Notice
Recorded
2021-10-27·cap_corrective_action
CAP Request
Recorded
2021-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (3,784 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hackensack University Medical Center.

Price Index: 1.86× regional baseline

Quality: 77/100 CMS composite

Median Household Income$123,715U.S. Census ACS

Local Uninsured Share6.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 310001 EIN 221487576

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310001) ↗ Verify IRS Form 990 (EIN 221487576) ↗ CMS HCRIS Cost Reports ↗

Published MRF File221487576-1144894577_hmh-hospitals-corporation_standardcharges.csv

Publication / Vintage2025-12-31 · 2434.30 MB

Validated Rate Rows7,135 (CMS v3.0.0)

File Integrity Digest2bbdffbc3b40638b6318…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy