Ankle arthroscopy/surgery at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$3,821.05
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.
?
What you pay up front if you don't use insurance.
$7,582.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,296.52 with AETNA vs $23,043.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,296.52 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,319.27 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $1,364.76 | ↓ -64% |
| KARNA | MEDICARE ADVANTAGE | $1,463.10 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -52% |
| CIGNA | HMO | $3,394.00 | ↓ -11% |
| CIGNA | PPO | $3,797.00 | ↓ -1% |
| HORIZON | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,821.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,821.05 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,012.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,164.94 | ↑ +9% |
| HORIZON | OMNIA | $5,187.60 | ↑ +36% |
| HORIZON | PIP | $5,686.50 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $5,686.50 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,065.60 | ↑ +59% |
| HORIZON | SHP | $6,224.06 | ↑ +63% |
| AMERIHEALTH | LOCAL HMO | $6,348.41 | ↑ +66% |
| HORIZON | HMO | $6,411.34 | ↑ +68% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,444.70 | ↑ +69% |
| HORIZON | INDEMNITY | $6,461.38 | ↑ +69% |
| HORIZON | PPO | $6,573.59 | ↑ +72% |
| QUALCARE | PPO | $7,020.93 | ↑ +84% |
| QUALCARE | WORKERS COMP | $7,020.93 | ↑ +84% |
| QUALCARE | HMO | $7,020.93 | ↑ +84% |
| AMERIHEALTH | REGIONAL HMO | $7,085.38 | ↑ +85% |
| AETNA | HMO | $7,770.00 | ↑ +103% |
| AETNA | PPO | $7,770.00 | ↑ +103% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +318% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +340% |
| OXFORD | ALL PRODUCTS | $18,283.00 | ↑ +378% |
| UNITED HEALTHCARE | HMO | $23,043.00 | ↑ +503% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ankle arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $1,463.10 – $4,012.10 |
| Ocean University Medical Center | Brick | $3,545.97 | $1,414.04 – $15,984.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,594.44 | $1,463.10 – $3,594.44 |
| Jersey Shore University Medical Center | Neptune City | $3,591.33 | $1,414.04 – $4,309.59 |
| Raritan Bay Medical Center | Perth Amboy | $3,594.44 | $1,463.10 – $15,984.00 |
| Riverview Medical Center | Red Bank | $3,591.33 | $1,414.04 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $3,545.97 | $1,414.04 – $15,984.00 |