ER Visit (level 5, high severity) at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$722.02
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.
$4,125.00
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.
$140.00 with AMERIGROUP vs $3,819.75 with QUALCARE — 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $140.00 | ↓ -81% |
| KARNA | MEDICARE ADVANTAGE | $290.51 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $705.38 | ↓ -2% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $717.75 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $722.02 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $722.02 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $722.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $722.02 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $722.02 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $722.02 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $742.50 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $758.12 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $781.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $787.01 | ↑ +9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $850.00 | ↑ +18% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +111% |
| CIGNA | HMO | $1,732.00 | ↑ +140% |
| AMERIHEALTH | LOCAL HMO | $1,783.00 | ↑ +147% |
| CIGNA | PPO | $1,911.00 | ↑ +165% |
| AMERIHEALTH | REGIONAL HMO | $1,983.00 | ↑ +175% |
| HORIZON | OMNIA | $2,102.00 | ↑ +191% |
| HORIZON | SHP | $2,488.00 | ↑ +245% |
| HORIZON | HMO | $2,595.00 | ↑ +259% |
| AETNA | PPO | $2,631.00 | ↑ +264% |
| AETNA | HMO | $2,631.00 | ↑ +264% |
| OXFORD | ALL PRODUCTS | $2,708.00 | ↑ +275% |
| HORIZON | WORKERS COMP | $2,755.00 | ↑ +282% |
| UNITED HEALTHCARE | HMO | $2,777.00 | ↑ +285% |
| HORIZON | INDEMNITY | $3,073.00 | ↑ +326% |
| HORIZON | PIP | $3,093.75 | ↑ +328% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,506.25 | ↑ +386% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.00 | ↑ +390% |
| HORIZON | PPO | $3,543.00 | ↑ +391% |
| QUALCARE | HMO | $3,819.75 | ↑ +429% |
| QUALCARE | WORKERS COMP | $3,819.75 | ↑ +429% |
| QUALCARE | PPO | $3,819.75 | ↑ +429% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $678.62 | $678.62 – $1,787.00 |
| Hackensack University Medical Center | Hackensack | $722.02 | $290.51 – $1,944.00 |
| Ocean University Medical Center | Brick | $670.04 | $140.00 – $1,789.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $679.20 | $290.51 – $3,800.00 |
| Jersey Shore University Medical Center | Neptune City | $678.62 | $284.08 – $1,897.00 |
| Raritan Bay Medical Center | Perth Amboy | $679.20 | $140.00 – $1,699.00 |
| Riverview Medical Center | Red Bank | $678.62 | $140.00 – $1,836.00 |
| Southern Ocean Medical Center | Manahawkin | $670.04 | $140.00 – $1,522.00 |