Cdp-sot 6 cond w/i&r mct&adt at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$151.80
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.
$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.
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The hospital's undiscounted list price — almost no one pays this.
$51.98 with AETNA vs $994.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $51.98 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $52.90 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $54.72 | ↓ -64% |
| HORIZON | MANAGED MEDICAID | $71.41 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $112.25 | ↓ -26% |
| HORIZON | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $151.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $151.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $159.39 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $165.46 | ↑ +9% |
| AETNA | PPO | $191.40 | ↑ +26% |
| AETNA | HMO | $191.40 | ↑ +26% |
| HORIZON | OMNIA | $208.00 | ↑ +37% |
| HORIZON | WORKERS COMP | $209.33 | ↑ +38% |
| HORIZON | PIP | $228.00 | ↑ +50% |
| BERGEN RISK | ALL PRODUCTS | $228.00 | ↑ +50% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $243.20 | ↑ +60% |
| HORIZON | SHP | $249.55 | ↑ +64% |
| AMERIHEALTH | LOCAL HMO | $254.54 | ↑ +68% |
| HORIZON | HMO | $257.06 | ↑ +69% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $258.40 | ↑ +70% |
| HORIZON | INDEMNITY | $259.07 | ↑ +71% |
| HORIZON | PPO | $263.57 | ↑ +74% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $273.60 | ↑ +80% |
| QUALCARE | HMO | $281.50 | ↑ +85% |
| QUALCARE | PPO | $281.50 | ↑ +85% |
| QUALCARE | WORKERS COMP | $281.50 | ↑ +85% |
| AMERIHEALTH | REGIONAL HMO | $284.09 | ↑ +87% |
| CIGNA | HMO | $290.72 | ↑ +92% |
| CIGNA | PPO | $290.72 | ↑ +92% |
| OXFORD | ALL PRODUCTS | $745.00 | ↑ +391% |
| UNITED HEALTHCARE | HMO | $994.00 | ↑ +555% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r mct&adt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $112.25 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $107.74 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $112.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $107.74 – $443.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $90.63 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $107.74 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $107.74 – $465.00 |