Incision of burn scab initi at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$470.51
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.
$1,150.00
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.
$196.65 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $196.65 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $200.10 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $207.00 | ↓ -56% |
| KARNA | MEDICARE ADVANTAGE | $409.13 | ↓ -13% |
| AMERIGROUP | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $470.51 | ↑ +0% |
| VACCN | ALL PRODUCTS | $470.51 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $470.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $494.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $512.86 | ↑ +9% |
| HORIZON | OMNIA | $786.83 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $862.50 | ↑ +83% |
| HORIZON | PIP | $862.50 | ↑ +83% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $920.00 | ↑ +96% |
| HORIZON | SHP | $944.04 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $962.90 | ↑ +105% |
| HORIZON | HMO | $972.44 | ↑ +107% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $977.50 | ↑ +108% |
| HORIZON | INDEMNITY | $980.03 | ↑ +108% |
| HORIZON | PPO | $997.05 | ↑ +112% |
| CIGNA | PPO | $1,033.74 | ↑ +120% |
| CIGNA | HMO | $1,033.74 | ↑ +120% |
| QUALCARE | HMO | $1,064.90 | ↑ +126% |
| QUALCARE | PPO | $1,064.90 | ↑ +126% |
| QUALCARE | WORKERS COMP | $1,064.90 | ↑ +126% |
| AMERIHEALTH | REGIONAL HMO | $1,074.68 | ↑ +128% |
| HORIZON | MANAGED MEDICAID | $1,599.00 | ↑ +240% |
| OXFORD | ALL PRODUCTS | $2,775.00 | ↑ +490% |
| UNITED HEALTHCARE | HMO | $3,339.00 | ↑ +610% |
| AETNA | HMO | $7,770.00 | ↑ +1551% |
| AETNA | PPO | $7,770.00 | ↑ +1551% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2011% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +3471% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incision of burn scab initi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $376.41 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $398.91 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $67.20 – $442.61 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $398.91 – $530.67 |
| Raritan Bay Medical Center | Perth Amboy | $442.61 | $409.13 – $531.13 |
| Riverview Medical Center | Red Bank | $442.22 | $398.91 – $530.67 |
| Southern Ocean Medical Center | Manahawkin | $436.64 | $398.91 – $523.97 |