Peri-implt capslc brst compl at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$4,509.59
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.
$7,563.00
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.
$488.17 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $488.17 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $1,293.27 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,315.96 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,361.34 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $1,533.23 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $1,542.85 | ↓ -66% |
| CIGNA | HMO | $4,175.00 | ↓ -7% |
| HORIZON | MEDICARE ADVANTAGE | $4,509.59 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,509.59 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,509.59 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,509.59 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,509.59 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,509.59 | ↑ +0% |
| CIGNA | PPO | $4,677.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,735.07 | ↑ +5% |
| HORIZON | OMNIA | $5,174.60 | ↑ +15% |
| HORIZON | PIP | $5,672.25 | ↑ +26% |
| BERGEN RISK | ALL PRODUCTS | $5,672.25 | ↑ +26% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,050.40 | ↑ +34% |
| HORIZON | SHP | $6,208.47 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $6,332.50 | ↑ +40% |
| HORIZON | HMO | $6,395.27 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,428.55 | ↑ +43% |
| HORIZON | INDEMNITY | $6,445.19 | ↑ +43% |
| HORIZON | PPO | $6,557.12 | ↑ +45% |
| QUALCARE | PPO | $7,003.34 | ↑ +55% |
| QUALCARE | WORKERS COMP | $7,003.34 | ↑ +55% |
| QUALCARE | HMO | $7,003.34 | ↑ +55% |
| AMERIHEALTH | REGIONAL HMO | $7,067.62 | ↑ +57% |
| AETNA | HMO | $7,770.00 | ↑ +72% |
| AETNA | PPO | $7,770.00 | ↑ +72% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +120% |
| OXFORD | ALL PRODUCTS | $11,065.00 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $13,869.00 | ↑ +208% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +273% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Peri-implt capslc brst compl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $364.79 – $8,369.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $411.35 – $8,592.30 |
| Community Medical Center | Toms River | $3,786.00 | $421.26 – $8,328.03 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $406.39 – $8,549.34 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $375.52 – $8,592.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $446.04 – $8,974.08 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $812.78 – $8,434.58 |
| Bayshore Medical Center | Holmdel | $4,238.48 | $4,238.48 – $5,086.17 |