Clearance of tear duct at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$352.04
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.
$5,651.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $352.04 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $352.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $352.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $369.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $383.72 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $540.59 | ↑ +54% |
| AETNA | MANAGED MEDICAID | $966.32 | ↑ +174% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $983.27 | ↑ +179% |
| CLOVER | MEDICARE ADVANTAGE | $1,017.18 | ↑ +189% |
| HORIZON | MANAGED MEDICAID | $2,254.00 | ↑ +540% |
| OXFORD | ALL PRODUCTS | $2,775.00 | ↑ +688% |
| UNITED HEALTHCARE | HMO | $3,339.00 | ↑ +848% |
| HORIZON | OMNIA | $3,866.41 | ↑ +998% |
| BERGEN RISK | ALL PRODUCTS | $4,238.25 | ↑ +1104% |
| HORIZON | PIP | $4,238.25 | ↑ +1104% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,520.80 | ↑ +1184% |
| HORIZON | SHP | $4,638.91 | ↑ +1218% |
| AMERIHEALTH | LOCAL HMO | $4,731.58 | ↑ +1244% |
| HORIZON | HMO | $4,778.49 | ↑ +1257% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,803.35 | ↑ +1264% |
| HORIZON | INDEMNITY | $4,815.78 | ↑ +1268% |
| HORIZON | PPO | $4,899.42 | ↑ +1292% |
| QUALCARE | HMO | $5,232.83 | ↑ +1386% |
| QUALCARE | PPO | $5,232.83 | ↑ +1386% |
| QUALCARE | WORKERS COMP | $5,232.83 | ↑ +1386% |
| AMERIHEALTH | REGIONAL HMO | $5,280.86 | ↑ +1400% |
| AETNA | PPO | $7,770.00 | ↑ +2107% |
| AETNA | HMO | $7,770.00 | ↑ +2107% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2722% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +4673% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $281.63 – $540.59 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $521.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $145.20 – $540.59 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $330.87 – $521.03 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $331.16 – $540.59 |
| Riverview Medical Center | Red Bank | $330.87 | $330.87 – $521.03 |
| Southern Ocean Medical Center | Manahawkin | $326.69 | $326.69 – $521.03 |