Nm imaging hepatobiliary system w/pharmacologic intervention at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$633.90
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.
$2,750.00
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.
$329.87 with HORIZON vs $2,546.50 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 | $329.87 | ↓ -48% |
| AMERIHEALTH | LOCAL HMO | $354.06 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $354.38 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $470.25 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $478.50 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↓ -22% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $633.90 | ↑ +0% |
| VACCN | ALL PRODUCTS | $633.90 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $633.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $665.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $690.95 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $778.38 | ↑ +23% |
| AETNA | PPO | $1,119.30 | ↑ +77% |
| AETNA | HMO | $1,119.30 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +109% |
| CIGNA | HMO | $1,445.04 | ↑ +128% |
| CIGNA | PPO | $1,445.04 | ↑ +128% |
| HORIZON | OMNIA | $1,881.55 | ↑ +197% |
| HORIZON | WORKERS COMP | $1,893.65 | ↑ +199% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +225% |
| HORIZON | PIP | $2,062.50 | ↑ +225% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,200.00 | ↑ +247% |
| HORIZON | SHP | $2,257.48 | ↑ +256% |
| HORIZON | HMO | $2,325.40 | ↑ +267% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +269% |
| HORIZON | INDEMNITY | $2,343.55 | ↑ +270% |
| HORIZON | PPO | $2,384.25 | ↑ +276% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +290% |
| QUALCARE | WORKERS COMP | $2,546.50 | ↑ +302% |
| QUALCARE | HMO | $2,546.50 | ↑ +302% |
| QUALCARE | PPO | $2,546.50 | ↑ +302% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $699.55 | $208.53 – $1,857.03 |
| Cooperman Barnabas Medical Center | Livingston | $495.84 | $248.94 – $1,857.03 |
| Community Medical Center | Toms River | $772.97 | $248.94 – $1,857.03 |
| Clara Maass Medical Center | Belleville | $563.08 | $249.42 – $1,857.03 |
| Newark Beth Israel Medical Center | Newark | $487.42 | $214.66 – $1,857.03 |
| Jersey City Medical Center | Jersey City | $774.47 | $248.94 – $1,857.03 |
| Monmouth Medical Center | Long Branch | $815.46 | $248.94 – $1,857.03 |
| Bayshore Medical Center | Holmdel | $595.79 | $354.06 – $1,445.04 |