Breast reduction at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$7,680.06
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.
$12,515.00
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.
$636.45 with HORIZON vs $19,490.00 with UNITED HEALTHCARE — 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 | $636.45 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $2,140.07 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,177.61 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $2,252.70 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $2,342.33 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $2,553.06 | ↓ -67% |
| CIGNA | HMO | $4,175.00 | ↓ -46% |
| CIGNA | PPO | $4,677.00 | ↓ -39% |
| HORIZON | OMNIA | $7,017.00 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $7,680.06 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,680.06 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $7,680.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,680.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,680.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,680.06 | ↑ +0% |
| QUALCARE | WORKERS COMP | $7,730.00 | ↑ +1% |
| QUALCARE | HMO | $7,730.00 | ↑ +1% |
| QUALCARE | PPO | $7,730.00 | ↑ +1% |
| AETNA | HMO | $7,770.00 | ↑ +1% |
| AETNA | PPO | $7,770.00 | ↑ +1% |
| HORIZON | SHP | $7,997.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,064.07 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $8,618.00 | ↑ +12% |
| HORIZON | HMO | $8,670.00 | ↑ +13% |
| HORIZON | INDEMNITY | $8,739.00 | ↑ +14% |
| HORIZON | PPO | $8,889.00 | ↑ +16% |
| BERGEN RISK | ALL PRODUCTS | $9,386.25 | ↑ +22% |
| HORIZON | PIP | $9,386.25 | ↑ +22% |
| AMERIHEALTH | REGIONAL HMO | $9,587.00 | ↑ +25% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,012.00 | ↑ +30% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,637.75 | ↑ +39% |
| OXFORD | ALL PRODUCTS | $15,487.00 | ↑ +102% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $19,490.00 | ↑ +154% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast reduction at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,218.34 | $7,218.34 – $8,662.01 |
| Hackensack University Medical Center | Hackensack | $7,680.06 | $2,342.33 – $8,064.07 |
| Ocean University Medical Center | Brick | $7,127.17 | $2,268.02 – $10,174.48 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,224.60 | $646.14 – $10,174.48 |
| Jersey Shore University Medical Center | Neptune City | $7,218.34 | $2,268.02 – $8,662.01 |
| Raritan Bay Medical Center | Perth Amboy | $7,224.60 | $807.68 – $8,669.52 |
| Riverview Medical Center | Red Bank | $7,218.34 | $2,268.02 – $8,662.01 |
| Southern Ocean Medical Center | Manahawkin | $7,127.17 | $2,268.02 – $8,552.61 |