Duplex scan bilateral study 93985 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$284.66
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.
$2,653.00
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.
$284.66 with HORIZON vs $2,744.00 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 | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $284.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $284.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $284.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $298.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $310.28 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $313.39 | ↑ +10% |
| KARNA | MEDICARE ADVANTAGE | $445.80 | ↑ +57% |
| AETNA | MANAGED MEDICAID | $453.66 | ↑ +59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $461.62 | ↑ +62% |
| CLOVER | MEDICARE ADVANTAGE | $477.54 | ↑ +68% |
| AETNA | HMO | $1,670.33 | ↑ +487% |
| AETNA | PPO | $1,670.33 | ↑ +487% |
| HORIZON | OMNIA | $1,815.18 | ↑ +538% |
| HORIZON | WORKERS COMP | $1,826.86 | ↑ +542% |
| HORIZON | PIP | $1,989.75 | ↑ +599% |
| BERGEN RISK | ALL PRODUCTS | $1,989.75 | ↑ +599% |
| OXFORD | ALL PRODUCTS | $2,009.00 | ↑ +606% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,122.40 | ↑ +646% |
| HORIZON | SHP | $2,177.85 | ↑ +665% |
| AMERIHEALTH | LOCAL HMO | $2,221.36 | ↑ +680% |
| HORIZON | HMO | $2,243.38 | ↑ +688% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,255.05 | ↑ +692% |
| HORIZON | INDEMNITY | $2,260.89 | ↑ +694% |
| HORIZON | PPO | $2,300.15 | ↑ +708% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,387.70 | ↑ +739% |
| QUALCARE | PPO | $2,456.68 | ↑ +763% |
| QUALCARE | WORKERS COMP | $2,456.68 | ↑ +763% |
| QUALCARE | HMO | $2,456.68 | ↑ +763% |
| AMERIHEALTH | REGIONAL HMO | $2,479.23 | ↑ +771% |
| CIGNA | HMO | $2,537.06 | ↑ +791% |
| CIGNA | PPO | $2,537.06 | ↑ +791% |
| UNITED HEALTHCARE | HMO | $2,744.00 | ↑ +864% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,324.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $1,271.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $1,190.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $264.17 – $1,114.00 |