Sigmoidoscopy/submucosal injection 45335 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$1,073.68
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.
$2,308.00
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.
$141.88 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $141.88 | ↓ -87% |
| HORIZON | MANAGED MEDICAID | $256.10 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $394.67 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $401.59 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $415.44 | ↓ -61% |
| WELLCARE | MANAGED MEDICAID | $1,073.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,073.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,073.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,127.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,170.32 | ↑ +9% |
| HORIZON | OMNIA | $1,579.13 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $1,731.00 | ↑ +61% |
| HORIZON | PIP | $1,731.00 | ↑ +61% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,846.40 | ↑ +72% |
| HORIZON | SHP | $1,894.64 | ↑ +76% |
| AMERIHEALTH | LOCAL HMO | $1,932.49 | ↑ +80% |
| HORIZON | HMO | $1,951.64 | ↑ +82% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,961.80 | ↑ +83% |
| HORIZON | INDEMNITY | $1,966.88 | ↑ +83% |
| HORIZON | PPO | $2,001.04 | ↑ +86% |
| CIGNA | HMO | $2,127.00 | ↑ +98% |
| QUALCARE | PPO | $2,137.21 | ↑ +99% |
| QUALCARE | WORKERS COMP | $2,137.21 | ↑ +99% |
| QUALCARE | HMO | $2,137.21 | ↑ +99% |
| AMERIHEALTH | REGIONAL HMO | $2,156.83 | ↑ +101% |
| CIGNA | PPO | $2,383.00 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $4,047.00 | ↑ +277% |
| UNITED HEALTHCARE | HMO | $4,954.00 | ↑ +361% |
| AETNA | HMO | $7,770.00 | ↑ +624% |
| AETNA | PPO | $7,770.00 | ↑ +624% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +825% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +1465% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy/submucosal injection 45335 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $151.69 – $1,992.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $215.80 – $2,045.74 |
| Community Medical Center | Toms River | $3,786.00 | $221.00 – $1,982.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $213.20 – $2,035.51 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $156.16 – $2,045.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $196.31 – $2,136.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $426.40 – $2,008.19 |
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |