ER Visit (level 1, minor) at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$103.69
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.
$649.00
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.
$19.04 with KARNA vs $2,755.00 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 | $19.04 | ↓ -82% |
| WELLCARE | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $103.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $103.69 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $103.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $108.88 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $110.98 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $112.93 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $113.03 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $116.82 | ↑ +13% |
| HORIZON | MANAGED MEDICAID | $184.00 | ↑ +77% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $300.00 | ↑ +189% |
| HORIZON | OMNIA | $302.00 | ↑ +191% |
| HORIZON | SHP | $360.00 | ↑ +247% |
| HORIZON | HMO | $374.00 | ↑ +261% |
| OXFORD | ALL PRODUCTS | $378.00 | ↑ +265% |
| HORIZON | INDEMNITY | $382.00 | ↑ +268% |
| HORIZON | PPO | $383.00 | ↑ +269% |
| UNITED HEALTHCARE | HMO | $387.00 | ↑ +273% |
| CIGNA | HMO | $411.00 | ↑ +296% |
| CIGNA | PPO | $411.00 | ↑ +296% |
| AETNA | HMO | $420.00 | ↑ +305% |
| AETNA | PPO | $420.00 | ↑ +305% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $481.00 | ↑ +364% |
| HORIZON | PIP | $486.75 | ↑ +369% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $551.65 | ↑ +432% |
| QUALCARE | HMO | $600.97 | ↑ +480% |
| QUALCARE | PPO | $600.97 | ↑ +480% |
| QUALCARE | WORKERS COMP | $600.97 | ↑ +480% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +1368% |
| AMERIHEALTH | LOCAL HMO | $1,733.00 | ↑ +1571% |
| AMERIHEALTH | REGIONAL HMO | $1,928.00 | ↑ +1759% |
| HORIZON | WORKERS COMP | $2,755.00 | ↑ +2557% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $1,522.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $19.04 – $1,522.00 |
| Ocean University Medical Center | Brick | $96.23 | $18.61 – $1,522.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $19.04 – $3,800.00 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $18.61 – $1,522.00 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $19.04 – $1,522.00 |
| Riverview Medical Center | Red Bank | $97.46 | $18.61 – $1,522.00 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $18.61 – $1,522.00 |