Lower Back (Lumbar Spine) MRI (with and without 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.
$6,039.00
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.
$420.58 with HORIZON vs $5,592.11 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 | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $420.58 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $420.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $441.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $458.43 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $632.30 | ↑ +50% |
| CIGNA | HMO | $693.61 | ↑ +65% |
| CIGNA | PPO | $693.61 | ↑ +65% |
| AETNA | HMO | $699.48 | ↑ +66% |
| AETNA | PPO | $699.48 | ↑ +66% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $800.00 | ↑ +90% |
| HORIZON | MANAGED MEDICAID | $892.31 | ↑ +112% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +113% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +113% |
| AETNA | MANAGED MEDICAID | $1,032.67 | ↑ +146% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,050.79 | ↑ +150% |
| CLOVER | MEDICARE ADVANTAGE | $1,087.02 | ↑ +158% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +264% |
| AMERIHEALTH | REGIONAL HMO | $1,532.98 | ↑ +264% |
| HORIZON | OMNIA | $4,131.88 | ↑ +882% |
| HORIZON | WORKERS COMP | $4,158.46 | ↑ +889% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,166.91 | ↑ +891% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +930% |
| HORIZON | PIP | $4,529.25 | ↑ +977% |
| HORIZON | SHP | $4,957.42 | ↑ +1079% |
| HORIZON | HMO | $5,106.58 | ↑ +1114% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,133.15 | ↑ +1120% |
| HORIZON | INDEMNITY | $5,146.44 | ↑ +1124% |
| HORIZON | PPO | $5,235.81 | ↑ +1145% |
| QUALCARE | WORKERS COMP | $5,592.11 | ↑ +1230% |
| QUALCARE | PPO | $5,592.11 | ↑ +1230% |
| QUALCARE | HMO | $5,592.11 | ↑ +1230% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $912.03 | $170.42 – $1,452.87 |
| Cooperman Barnabas Medical Center | Livingston | $1,029.62 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $1,007.75 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $966.45 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $1,012.12 | $175.43 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $1,009.70 | $220.55 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $1,063.14 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |