Biopsy of salivary glnd;incisional 42405 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$1,744.44
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.
$5,304.00
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.
$490.93 with KARNA vs $16,802.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $490.93 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $906.98 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $922.90 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $954.72 | ↓ -45% |
| HORIZON | MANAGED MEDICAID | $1,599.00 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,744.44 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,744.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,744.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,744.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,744.44 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,744.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,831.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,901.44 | ↑ +9% |
| CIGNA | HMO | $2,967.00 | ↑ +70% |
| CIGNA | PPO | $3,320.00 | ↑ +90% |
| HORIZON | OMNIA | $3,629.00 | ↑ +108% |
| HORIZON | PIP | $3,978.00 | ↑ +128% |
| BERGEN RISK | ALL PRODUCTS | $3,978.00 | ↑ +128% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,243.20 | ↑ +143% |
| HORIZON | SHP | $4,354.05 | ↑ +150% |
| AMERIHEALTH | LOCAL HMO | $4,441.04 | ↑ +155% |
| HORIZON | HMO | $4,485.06 | ↑ +157% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,508.40 | ↑ +158% |
| HORIZON | INDEMNITY | $4,520.07 | ↑ +159% |
| HORIZON | PPO | $4,598.57 | ↑ +164% |
| QUALCARE | PPO | $4,911.50 | ↑ +182% |
| QUALCARE | WORKERS COMP | $4,911.50 | ↑ +182% |
| QUALCARE | HMO | $4,911.50 | ↑ +182% |
| AMERIHEALTH | REGIONAL HMO | $4,956.59 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $6,080.00 | ↑ +249% |
| UNITED HEALTHCARE | HMO | $7,538.00 | ↑ +332% |
| AETNA | PPO | $7,770.00 | ↑ +345% |
| AETNA | HMO | $7,770.00 | ↑ +345% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +469% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +863% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of salivary glnd;incisional 42405 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,639.57 | $1,639.57 – $1,967.48 |
| Hackensack University Medical Center | Hackensack | $1,744.44 | $490.93 – $1,831.67 |
| Ocean University Medical Center | Brick | $1,618.86 | $474.33 – $1,942.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,640.99 | $81.20 – $1,640.99 |
| Jersey Shore University Medical Center | Neptune City | $1,639.57 | $474.33 – $1,967.48 |
| Raritan Bay Medical Center | Perth Amboy | $1,640.99 | $490.93 – $1,969.19 |
| Riverview Medical Center | Red Bank | $1,639.57 | $474.33 – $1,967.48 |
| Southern Ocean Medical Center | Manahawkin | $1,618.86 | $474.33 – $1,942.63 |