Inj nephrosto/ureterogram w/img exstng access at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$786.05
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.
$2,070.00
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.
$138.62 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $138.62 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $148.94 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $353.97 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $360.18 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $372.60 | ↓ -53% |
| AETNA | MEDICARE ADVANTAGE | $422.28 | ↓ -46% |
| AMERIGROUP | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $786.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $786.05 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $786.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $825.36 | ↑ +5% |
| HORIZON | OMNIA | $1,416.29 | ↑ +80% |
| BERGEN RISK | ALL PRODUCTS | $1,552.50 | ↑ +98% |
| HORIZON | PIP | $1,552.50 | ↑ +98% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,656.00 | ↑ +111% |
| HORIZON | SHP | $1,699.26 | ↑ +116% |
| AMERIHEALTH | LOCAL HMO | $1,733.21 | ↑ +120% |
| HORIZON | HMO | $1,750.39 | ↑ +123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,759.50 | ↑ +124% |
| HORIZON | INDEMNITY | $1,764.05 | ↑ +124% |
| HORIZON | PPO | $1,794.69 | ↑ +128% |
| QUALCARE | WORKERS COMP | $1,916.82 | ↑ +144% |
| QUALCARE | HMO | $1,916.82 | ↑ +144% |
| QUALCARE | PPO | $1,916.82 | ↑ +144% |
| AMERIHEALTH | REGIONAL HMO | $1,934.42 | ↑ +146% |
| CIGNA | HMO | $3,394.00 | ↑ +332% |
| CIGNA | PPO | $3,797.00 | ↑ +383% |
| OXFORD | ALL PRODUCTS | $4,047.00 | ↑ +415% |
| UNITED HEALTHCARE | HMO | $4,954.00 | ↑ +530% |
| AETNA | HMO | $7,770.00 | ↑ +888% |
| AETNA | PPO | $7,770.00 | ↑ +888% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1164% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +2038% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $738.80 | $738.80 – $886.55 |
| Hackensack University Medical Center | Hackensack | $786.05 | $135.02 – $825.36 |
| Ocean University Medical Center | Brick | $729.46 | $134.24 – $1,163.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $138.62 – $1,163.86 |
| Jersey Shore University Medical Center | Neptune City | $738.80 | $134.24 – $886.55 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $138.62 – $887.32 |
| Riverview Medical Center | Red Bank | $738.80 | $104.44 – $886.55 |
| Southern Ocean Medical Center | Manahawkin | $729.46 | $134.24 – $875.36 |