Co-treatment - group 15 mins, st at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$30.03
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.
$174.00
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.
$16.08 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $16.08 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $29.75 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $30.03 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $30.03 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $30.03 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $30.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $30.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $30.03 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30.03 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $30.28 | ↑ +1% |
| CLOVER | MEDICARE ADVANTAGE | $31.32 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $32.73 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $42.43 | ↑ +41% |
| HORIZON | OMNIA | $119.05 | ↑ +296% |
| HORIZON | WORKERS COMP | $119.82 | ↑ +299% |
| AETNA | PPO | $128.99 | ↑ +330% |
| AETNA | HMO | $128.99 | ↑ +330% |
| BERGEN RISK | ALL PRODUCTS | $130.50 | ↑ +335% |
| HORIZON | PIP | $130.50 | ↑ +335% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $139.20 | ↑ +364% |
| HORIZON | SHP | $142.84 | ↑ +376% |
| AMERIHEALTH | LOCAL HMO | $145.69 | ↑ +385% |
| HORIZON | HMO | $147.13 | ↑ +390% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $147.90 | ↑ +393% |
| HORIZON | INDEMNITY | $148.28 | ↑ +394% |
| HORIZON | PPO | $150.86 | ↑ +402% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $156.60 | ↑ +421% |
| QUALCARE | WORKERS COMP | $161.12 | ↑ +437% |
| QUALCARE | HMO | $161.12 | ↑ +437% |
| QUALCARE | PPO | $161.12 | ↑ +437% |
| AMERIHEALTH | REGIONAL HMO | $162.60 | ↑ +441% |
| CIGNA | HMO | $166.40 | ↑ +454% |
| CIGNA | PPO | $166.40 | ↑ +454% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +646% |
| OXFORD | ALL PRODUCTS | $769.00 | ↑ +2461% |
| UNITED HEALTHCARE | HMO | $994.00 | ↑ +3210% |
Visitor-reported prices
Comments
Co-treatment - group 15 mins, st at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $30.03 | $30.03 – $614.00 |
| Hackensack University Medical Center | Hackensack | $30.03 | $24.02 – $406.00 |
| Ocean University Medical Center | Brick | $30.03 | $30.03 – $413.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $30.03 | $30.03 – $576.00 |
| Jersey Shore University Medical Center | Neptune City | $30.03 | $24.02 – $326.00 |
| Raritan Bay Medical Center | Perth Amboy | $30.03 | $30.03 – $265.00 |
| Riverview Medical Center | Red Bank | $30.03 | $30.03 – $301.00 |
| Southern Ocean Medical Center | Manahawkin | $30.03 | $30.03 – $332.00 |