Cover eye w/membrane at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$1,140.61
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.
$2,804.00
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.
$92.03 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 | $92.03 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $479.48 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $487.90 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $504.72 | ↓ -56% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,140.61 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,140.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,140.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,140.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,140.61 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,140.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,197.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,243.27 | ↑ +9% |
| HORIZON | OMNIA | $1,918.50 | ↑ +68% |
| BERGEN RISK | ALL PRODUCTS | $2,103.00 | ↑ +84% |
| HORIZON | PIP | $2,103.00 | ↑ +84% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,243.20 | ↑ +97% |
| HORIZON | MANAGED MEDICAID | $2,254.00 | ↑ +98% |
| HORIZON | SHP | $2,301.80 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $2,347.79 | ↑ +106% |
| HORIZON | HMO | $2,371.06 | ↑ +108% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,383.40 | ↑ +109% |
| HORIZON | INDEMNITY | $2,389.57 | ↑ +109% |
| HORIZON | PPO | $2,431.07 | ↑ +113% |
| QUALCARE | HMO | $2,596.50 | ↑ +128% |
| QUALCARE | WORKERS COMP | $2,596.50 | ↑ +128% |
| QUALCARE | PPO | $2,596.50 | ↑ +128% |
| AMERIHEALTH | REGIONAL HMO | $2,620.34 | ↑ +130% |
| CIGNA | HMO | $2,967.00 | ↑ +160% |
| CIGNA | PPO | $3,320.00 | ↑ +191% |
| OXFORD | ALL PRODUCTS | $6,080.00 | ↑ +433% |
| UNITED HEALTHCARE | HMO | $7,538.00 | ↑ +561% |
| AETNA | HMO | $7,770.00 | ↑ +581% |
| AETNA | PPO | $7,770.00 | ↑ +581% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +771% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1373% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,072.04 | $1,072.04 – $1,286.45 |
| Hackensack University Medical Center | Hackensack | $1,140.61 | $92.03 – $1,197.64 |
| Ocean University Medical Center | Brick | $1,058.50 | $89.15 – $1,270.20 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,072.97 | $92.03 – $1,072.97 |
| Jersey Shore University Medical Center | Neptune City | $1,072.04 | $89.15 – $1,286.45 |
| Raritan Bay Medical Center | Perth Amboy | $1,072.97 | $92.03 – $1,287.56 |
| Riverview Medical Center | Red Bank | $1,072.04 | $89.15 – $1,286.45 |
| Southern Ocean Medical Center | Manahawkin | $1,058.50 | $89.15 – $1,270.20 |