Optx palatal/max fracture at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$6,966.64
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.
$9,350.00
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.
$1,345.27 with KARNA vs $19,490.00 with UNITED HEALTHCARE — 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 | $1,345.27 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $1,598.85 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,626.90 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $1,683.00 | ↓ -76% |
| HORIZON | MANAGED MEDICAID | $2,567.00 | ↓ -63% |
| HORIZON | OMNIA | $6,397.27 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $6,966.64 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $6,966.64 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $6,966.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,966.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,966.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,966.64 | ↑ +0% |
| HORIZON | PIP | $7,012.50 | ↑ +1% |
| BERGEN RISK | ALL PRODUCTS | $7,012.50 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,314.97 | ↑ +5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,480.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $7,593.63 | ↑ +9% |
| HORIZON | SHP | $7,675.42 | ↑ +10% |
| QUALCARE | PPO | $7,730.00 | ↑ +11% |
| QUALCARE | WORKERS COMP | $7,730.00 | ↑ +11% |
| QUALCARE | HMO | $7,730.00 | ↑ +11% |
| AETNA | PPO | $7,770.00 | ↑ +12% |
| AETNA | HMO | $7,770.00 | ↑ +12% |
| AMERIHEALTH | LOCAL HMO | $7,828.76 | ↑ +12% |
| HORIZON | HMO | $7,906.36 | ↑ +13% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,947.50 | ↑ +14% |
| HORIZON | INDEMNITY | $7,968.07 | ↑ +14% |
| HORIZON | PPO | $8,106.45 | ↑ +16% |
| CIGNA | HMO | $8,404.72 | ↑ +21% |
| CIGNA | PPO | $8,404.72 | ↑ +21% |
| AMERIHEALTH | REGIONAL HMO | $8,737.58 | ↑ +25% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +43% |
| OXFORD | ALL PRODUCTS | $15,487.00 | ↑ +122% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +141% |
| UNITED HEALTHCARE | HMO | $19,490.00 | ↑ +180% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Optx palatal/max fracture at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $319.42 – $12,930.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $415.00 – $13,273.80 |
| Community Medical Center | Toms River | $3,786.00 | $425.00 – $12,865.57 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $410.00 – $13,207.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $328.82 – $13,273.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $413.37 – $13,863.61 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $820.00 – $13,030.14 |
| Bayshore Medical Center | Holmdel | $6,547.81 | $6,547.81 – $7,857.37 |