Cystostomy cystotomy w/drainage 51040 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$2,412.45
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.
$4,612.00
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.
$628.81 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 | $628.81 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $788.65 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $802.49 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $830.16 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $2,254.00 | ↓ -7% |
| VACCN | ALL PRODUCTS | $2,412.45 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,412.45 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $2,412.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,412.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,412.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,412.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,533.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,629.57 | ↑ +9% |
| HORIZON | OMNIA | $3,155.53 | ↑ +31% |
| BERGEN RISK | ALL PRODUCTS | $3,459.00 | ↑ +43% |
| HORIZON | PIP | $3,459.00 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,689.60 | ↑ +53% |
| HORIZON | SHP | $3,785.99 | ↑ +57% |
| AMERIHEALTH | LOCAL HMO | $3,861.63 | ↑ +60% |
| HORIZON | HMO | $3,899.91 | ↑ +62% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,920.20 | ↑ +62% |
| HORIZON | INDEMNITY | $3,930.35 | ↑ +63% |
| HORIZON | PPO | $3,998.60 | ↑ +66% |
| CIGNA | HMO | $4,175.00 | ↑ +73% |
| QUALCARE | WORKERS COMP | $4,270.71 | ↑ +77% |
| QUALCARE | HMO | $4,270.71 | ↑ +77% |
| QUALCARE | PPO | $4,270.71 | ↑ +77% |
| AMERIHEALTH | REGIONAL HMO | $4,309.91 | ↑ +79% |
| CIGNA | PPO | $4,677.00 | ↑ +94% |
| AETNA | HMO | $7,770.00 | ↑ +222% |
| AETNA | PPO | $7,770.00 | ↑ +222% |
| OXFORD | ALL PRODUCTS | $8,113.00 | ↑ +236% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +312% |
| UNITED HEALTHCARE | HMO | $10,123.00 | ↑ +320% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +596% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $628.81 – $2,533.07 |
| Ocean University Medical Center | Brick | $2,238.78 | $607.75 – $2,686.53 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,269.38 | $484.00 – $2,269.38 |
| Jersey Shore University Medical Center | Neptune City | $2,267.41 | $607.75 – $2,720.90 |
| Raritan Bay Medical Center | Perth Amboy | $2,269.38 | $628.81 – $2,723.26 |
| Riverview Medical Center | Red Bank | $2,267.41 | $607.75 – $2,720.90 |
| Southern Ocean Medical Center | Manahawkin | $2,238.78 | $607.75 – $2,686.53 |