Fetal biophys profile w/nst 76818 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$125.23
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.
$1,197.00
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.
$99.22 with HORIZON vs $1,108.42 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $99.22 | ↓ -21% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $136.50 | ↑ +9% |
| AETNA | PPO | $185.77 | ↑ +48% |
| AETNA | HMO | $185.77 | ↑ +48% |
| AETNA | MANAGED MEDICAID | $204.69 | ↑ +63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $208.28 | ↑ +66% |
| CLOVER | MEDICARE ADVANTAGE | $215.46 | ↑ +72% |
| KARNA | MEDICARE ADVANTAGE | $227.21 | ↑ +81% |
| CIGNA | PPO | $237.93 | ↑ +90% |
| CIGNA | HMO | $237.93 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $278.47 | ↑ +122% |
| AMERIHEALTH | REGIONAL HMO | $278.72 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +136% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +136% |
| HORIZON | OMNIA | $818.99 | ↑ +554% |
| HORIZON | WORKERS COMP | $824.25 | ↑ +558% |
| BERGEN RISK | ALL PRODUCTS | $897.75 | ↑ +617% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $897.75 | ↑ +617% |
| HORIZON | PIP | $897.75 | ↑ +617% |
| HORIZON | SHP | $982.62 | ↑ +685% |
| HORIZON | HMO | $1,012.18 | ↑ +708% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,017.45 | ↑ +712% |
| HORIZON | INDEMNITY | $1,020.08 | ↑ +715% |
| HORIZON | PPO | $1,037.80 | ↑ +729% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,077.30 | ↑ +760% |
| QUALCARE | WORKERS COMP | $1,108.42 | ↑ +785% |
| QUALCARE | HMO | $1,108.42 | ↑ +785% |
| QUALCARE | PPO | $1,108.42 | ↑ +785% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fetal biophys profile w/nst 76818 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $89.95 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $334.81 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $295.04 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $278.47 |