Incision of achilles tendon at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$3,821.05
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.
$6,562.00
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.
$260.63 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $260.63 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $580.36 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $1,122.10 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,141.79 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $1,181.16 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $1,338.65 | ↓ -65% |
| CIGNA | HMO | $2,127.00 | ↓ -44% |
| CIGNA | PPO | $2,383.00 | ↓ -38% |
| HORIZON | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,821.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,821.05 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,821.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,012.10 | ↑ +5% |
| HORIZON | OMNIA | $4,489.72 | ↑ +17% |
| HORIZON | PIP | $4,921.50 | ↑ +29% |
| BERGEN RISK | ALL PRODUCTS | $4,921.50 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,249.60 | ↑ +37% |
| HORIZON | SHP | $5,386.75 | ↑ +41% |
| AMERIHEALTH | LOCAL HMO | $5,494.36 | ↑ +44% |
| HORIZON | HMO | $5,548.83 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,577.70 | ↑ +46% |
| HORIZON | INDEMNITY | $5,592.14 | ↑ +46% |
| HORIZON | PPO | $5,689.25 | ↑ +49% |
| QUALCARE | PPO | $6,076.41 | ↑ +59% |
| QUALCARE | WORKERS COMP | $6,076.41 | ↑ +59% |
| QUALCARE | HMO | $6,076.41 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $6,132.19 | ↑ +60% |
| AETNA | HMO | $7,770.00 | ↑ +103% |
| AETNA | PPO | $7,770.00 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $8,113.00 | ↑ +112% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +160% |
| UNITED HEALTHCARE | HMO | $10,123.00 | ↑ +165% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +340% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incision of achilles tendon at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $580.36 – $4,012.10 |
| Ocean University Medical Center | Brick | $3,545.97 | $561.77 – $5,430.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,594.44 | $264.60 – $5,430.31 |
| Jersey Shore University Medical Center | Neptune City | $3,591.33 | $561.77 – $4,309.59 |
| Raritan Bay Medical Center | Perth Amboy | $3,594.44 | $330.75 – $4,313.33 |
| Riverview Medical Center | Red Bank | $3,591.33 | $561.77 – $4,309.59 |
| Southern Ocean Medical Center | Manahawkin | $3,545.97 | $561.77 – $4,255.16 |