Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$13.42
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.
$165.00
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.
$10.23 with HORIZON vs $154.19 with AMERIHEALTH — 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 | $10.23 | ↓ -24% |
| WELLCARE | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.42 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $13.42 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.42 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.42 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.42 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.63 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $17.85 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $27.54 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $28.22 | ↑ +110% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $32.16 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $56.59 | ↑ +322% |
| CIGNA | PPO | $61.50 | ↑ +358% |
| CIGNA | HMO | $61.50 | ↑ +358% |
| AETNA | HMO | $110.88 | ↑ +726% |
| AETNA | PPO | $110.88 | ↑ +726% |
| HORIZON | OMNIA | $112.89 | ↑ +741% |
| HORIZON | WORKERS COMP | $113.62 | ↑ +747% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +822% |
| HORIZON | PIP | $123.75 | ↑ +822% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $132.00 | ↑ +884% |
| HORIZON | SHP | $135.45 | ↑ +909% |
| AMERIHEALTH | LOCAL HMO | $138.15 | ↑ +929% |
| HORIZON | HMO | $139.52 | ↑ +940% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +945% |
| HORIZON | INDEMNITY | $140.61 | ↑ +948% |
| HORIZON | PPO | $143.06 | ↑ +966% |
| QUALCARE | WORKERS COMP | $152.79 | ↑ +1039% |
| QUALCARE | PPO | $152.79 | ↑ +1039% |
| QUALCARE | HMO | $152.79 | ↑ +1039% |
| AMERIHEALTH | REGIONAL HMO | $154.19 | ↑ +1049% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.42 | $13.42 – $61.50 |
| Hackensack University Medical Center | Hackensack | $13.42 | $9.28 – $60.26 |
| Ocean University Medical Center | Brick | $13.42 | $13.40 – $61.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.42 | $13.40 – $63.16 |
| Jersey Shore University Medical Center | Neptune City | $13.42 | $10.74 – $61.50 |
| Raritan Bay Medical Center | Perth Amboy | $13.42 | $13.42 – $61.50 |
| Riverview Medical Center | Red Bank | $13.42 | $7.18 – $61.50 |
| Southern Ocean Medical Center | Manahawkin | $13.42 | $13.42 – $61.50 |