Lower Back (Lumbar Spine) CT scan (with contrast) at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$420.58
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.
$3,414.00
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.
$279.10 with HORIZON vs $3,161.36 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 | $279.10 | ↓ -34% |
| KARNA | MEDICARE ADVANTAGE | $333.73 | ↓ -21% |
| CIGNA | HMO | $347.76 | ↓ -17% |
| CIGNA | PPO | $347.76 | ↓ -17% |
| WELLCARE | MANAGED MEDICAID | $420.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $420.58 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $441.61 | ↑ +5% |
| AETNA | PPO | $443.71 | ↑ +5% |
| AETNA | HMO | $443.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $458.43 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $583.79 | ↑ +39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $594.04 | ↑ +41% |
| CLOVER | MEDICARE ADVANTAGE | $614.52 | ↑ +46% |
| AMERIHEALTH | LOCAL HMO | $642.47 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $643.05 | ↑ +53% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +55% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +113% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +113% |
| HORIZON | OMNIA | $2,335.86 | ↑ +455% |
| HORIZON | WORKERS COMP | $2,350.88 | ↑ +459% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,355.66 | ↑ +460% |
| BERGEN RISK | ALL PRODUCTS | $2,560.50 | ↑ +509% |
| HORIZON | PIP | $2,560.50 | ↑ +509% |
| HORIZON | SHP | $2,802.55 | ↑ +566% |
| HORIZON | HMO | $2,886.88 | ↑ +586% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,901.90 | ↑ +590% |
| HORIZON | INDEMNITY | $2,909.41 | ↑ +592% |
| HORIZON | PPO | $2,959.94 | ↑ +604% |
| QUALCARE | PPO | $3,161.36 | ↑ +652% |
| QUALCARE | HMO | $3,161.36 | ↑ +652% |
| QUALCARE | WORKERS COMP | $3,161.36 | ↑ +652% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $448.22 | $89.95 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $514.49 | $279.10 – $801.34 |
| Community Medical Center | Toms River | $495.27 | $221.00 – $776.70 |
| Clara Maass Medical Center | Belleville | $768.74 | $221.00 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $505.75 | $92.60 – $801.34 |
| Jersey City Medical Center | Jersey City | $496.22 | $116.41 – $836.95 |
| Monmouth Medical Center | Long Branch | $522.49 | $221.00 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $347.76 – $2,083.00 |