Pt evaluation moderate complexity patient/family at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$126.19
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.
$453.00
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.
$77.46 with AETNA vs $725.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $77.46 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.82 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $81.54 | ↓ -35% |
| HORIZON | MANAGED MEDICAID | $118.00 | ↓ -6% |
| VACCN | ALL PRODUCTS | $126.19 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $126.19 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $126.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $126.19 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $132.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $137.55 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $172.59 | ↑ +37% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +78% |
| HORIZON | OMNIA | $309.94 | ↑ +146% |
| HORIZON | WORKERS COMP | $311.94 | ↑ +147% |
| AETNA | PPO | $335.81 | ↑ +166% |
| AETNA | HMO | $335.81 | ↑ +166% |
| HORIZON | PIP | $339.75 | ↑ +169% |
| BERGEN RISK | ALL PRODUCTS | $349.00 | ↑ +177% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $362.40 | ↑ +187% |
| HORIZON | SHP | $371.87 | ↑ +195% |
| AMERIHEALTH | LOCAL HMO | $379.30 | ↑ +201% |
| HORIZON | HMO | $383.06 | ↑ +204% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $385.05 | ↑ +205% |
| HORIZON | INDEMNITY | $386.05 | ↑ +206% |
| HORIZON | PPO | $392.75 | ↑ +211% |
| QUALCARE | PPO | $419.48 | ↑ +232% |
| QUALCARE | WORKERS COMP | $419.48 | ↑ +232% |
| QUALCARE | HMO | $419.48 | ↑ +232% |
| AMERIHEALTH | REGIONAL HMO | $423.33 | ↑ +235% |
| CIGNA | HMO | $433.20 | ↑ +243% |
| CIGNA | PPO | $433.20 | ↑ +243% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $517.00 | ↑ +310% |
| OXFORD | ALL PRODUCTS | $558.00 | ↑ +342% |
| UNITED HEALTHCARE | HMO | $725.00 | ↑ +475% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $181.20 | $65.69 – $65.69 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $340.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $126.19 | $126.19 – $517.00 |
| Hackensack University Medical Center | Hackensack | $126.19 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $126.19 | $60.00 – $517.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $126.19 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $126.19 | $80.00 – $561.00 |