Bx nasopharynx/unknown pri lesion 42806 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$3,819.23
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.
$7,068.00
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.
$311.44 with KARNA vs $16,802.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $311.44 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $1,208.63 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,229.83 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,272.24 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $1,599.00 | ↓ -58% |
| CIGNA | HMO | $2,967.00 | ↓ -22% |
| CIGNA | PPO | $3,320.00 | ↓ -13% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,819.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,819.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,819.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,010.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,162.96 | ↑ +9% |
| HORIZON | OMNIA | $4,835.93 | ↑ +27% |
| HORIZON | PIP | $5,301.00 | ↑ +39% |
| BERGEN RISK | ALL PRODUCTS | $5,301.00 | ↑ +39% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,654.40 | ↑ +48% |
| HORIZON | SHP | $5,802.12 | ↑ +52% |
| AMERIHEALTH | LOCAL HMO | $5,918.04 | ↑ +55% |
| HORIZON | HMO | $5,976.70 | ↑ +56% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,007.80 | ↑ +57% |
| HORIZON | INDEMNITY | $6,023.35 | ↑ +58% |
| HORIZON | PPO | $6,127.96 | ↑ +60% |
| QUALCARE | HMO | $6,544.97 | ↑ +71% |
| QUALCARE | WORKERS COMP | $6,544.97 | ↑ +71% |
| QUALCARE | PPO | $6,544.97 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $6,605.05 | ↑ +73% |
| AETNA | HMO | $7,770.00 | ↑ +103% |
| AETNA | PPO | $7,770.00 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $8,113.00 | ↑ +112% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +160% |
| UNITED HEALTHCARE | HMO | $10,123.00 | ↑ +165% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +340% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx nasopharynx/unknown pri lesion 42806 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,589.62 | $3,589.62 – $4,307.55 |
| Hackensack University Medical Center | Hackensack | $3,819.23 | $311.44 – $4,010.20 |
| Ocean University Medical Center | Brick | $3,544.29 | $299.36 – $4,253.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,592.74 | $109.20 – $3,592.74 |
| Jersey Shore University Medical Center | Neptune City | $3,589.62 | $299.36 – $4,307.55 |
| Raritan Bay Medical Center | Perth Amboy | $3,592.74 | $311.44 – $4,311.29 |
| Riverview Medical Center | Red Bank | $3,589.62 | $299.36 – $4,307.55 |
| Southern Ocean Medical Center | Manahawkin | $3,544.29 | $299.36 – $4,253.14 |