Bx breast 1st lesion strtctc at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$1,908.09
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.
$7,040.00
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.
$336.10 with KARNA vs $8,027.00 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 | $336.10 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $1,203.84 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,224.96 | ↓ -36% |
| CLOVER | MEDICARE ADVANTAGE | $1,267.20 | ↓ -34% |
| AETNA | MEDICARE ADVANTAGE | $1,436.16 | ↓ -25% |
| HORIZON | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,908.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,908.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,908.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,003.50 | ↑ +5% |
| CIGNA | HMO | $3,394.00 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $3,613.63 | ↑ +89% |
| UNITED HEALTHCARE | HMO | $3,646.72 | ↑ +91% |
| CIGNA | PPO | $3,797.00 | ↑ +99% |
| AETNA | PPO | $4,432.38 | ↑ +132% |
| AETNA | HMO | $4,432.38 | ↑ +132% |
| HORIZON | WORKERS COMP | $4,847.74 | ↑ +154% |
| BERGEN RISK | ALL PRODUCTS | $5,280.00 | ↑ +177% |
| HORIZON | PIP | $5,280.00 | ↑ +177% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,632.00 | ↑ +195% |
| AMERIHEALTH | LOCAL HMO | $5,894.59 | ↑ +209% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,984.00 | ↑ +214% |
| HORIZON | OMNIA | $6,335.00 | ↑ +232% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,336.00 | ↑ +232% |
| QUALCARE | WORKERS COMP | $6,519.04 | ↑ +242% |
| QUALCARE | HMO | $6,519.04 | ↑ +242% |
| QUALCARE | PPO | $6,519.04 | ↑ +242% |
| AMERIHEALTH | REGIONAL HMO | $6,578.88 | ↑ +245% |
| HORIZON | SHP | $7,352.00 | ↑ +285% |
| HORIZON | HMO | $7,829.00 | ↑ +310% |
| HORIZON | INDEMNITY | $7,891.00 | ↑ +314% |
| HORIZON | PPO | $8,027.00 | ↑ +321% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $336.10 – $2,003.50 |
| Ocean University Medical Center | Brick | $1,770.73 | $327.24 – $2,847.29 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,794.93 | $336.10 – $2,847.29 |
| Jersey Shore University Medical Center | Neptune City | $1,793.38 | $327.24 – $2,152.05 |
| Raritan Bay Medical Center | Perth Amboy | $1,794.93 | $336.10 – $3,154.84 |
| Riverview Medical Center | Red Bank | $1,793.38 | $327.24 – $2,152.05 |
| Southern Ocean Medical Center | Manahawkin | $1,770.73 | $327.24 – $2,124.87 |