Consultation pathology during surgery cytological exam initial site at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$962.03
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.
$1,067.00
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.
$61.75 with HORIZON vs $2,767.57 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 | $61.75 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $172.57 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $182.46 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $185.66 | ↓ -81% |
| AETNA | HMO | $717.02 | ↓ -25% |
| AETNA | PPO | $717.02 | ↓ -25% |
| HORIZON | OMNIA | $730.04 | ↓ -24% |
| HORIZON | WORKERS COMP | $734.74 | ↓ -24% |
| HORIZON | PIP | $800.25 | ↓ -17% |
| BERGEN RISK | ALL PRODUCTS | $800.25 | ↓ -17% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $853.60 | ↓ -11% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $853.60 | ↓ -11% |
| HORIZON | SHP | $875.90 | ↓ -9% |
| AMERIHEALTH | LOCAL HMO | $893.40 | ↓ -7% |
| HORIZON | HMO | $902.26 | ↓ -6% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $906.95 | ↓ -6% |
| HORIZON | INDEMNITY | $909.30 | ↓ -5% |
| HORIZON | PPO | $925.09 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $962.03 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $962.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $962.03 | ↑ +0% |
| QUALCARE | PPO | $988.04 | ↑ +3% |
| QUALCARE | HMO | $988.04 | ↑ +3% |
| QUALCARE | WORKERS COMP | $988.04 | ↑ +3% |
| AMERIHEALTH | REGIONAL HMO | $997.11 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,010.13 | ↑ +5% |
| CIGNA | PPO | $1,020.37 | ↑ +6% |
| CIGNA | HMO | $1,020.37 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $1,048.61 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $1,346.75 | ↑ +40% |
| UNITED HEALTHCARE | HMO | $2,767.57 | ↑ +188% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $904.19 | $42.26 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $55.97 – $1,515.40 |
| Ocean University Medical Center | Brick | $892.77 | $42.26 – $892.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $904.98 | $88.07 – $1,430.41 |
| Jersey Shore University Medical Center | Neptune City | $904.19 | $42.26 – $1,466.50 |
| Raritan Bay Medical Center | Perth Amboy | $904.98 | $42.26 – $1,346.75 |
| Riverview Medical Center | Red Bank | $904.19 | $42.26 – $1,346.75 |
| Southern Ocean Medical Center | Manahawkin | $892.77 | $42.26 – $973.12 |