Sm-153 lexidron ther at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$4,314.91
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.
$23,340.00
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.
$3,991.14 with AETNA vs $37,065.53 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 | $3,991.14 | ↓ -8% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,061.16 | ↓ -6% |
| CLOVER | MEDICARE ADVANTAGE | $4,201.20 | ↓ -3% |
| HORIZON | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,314.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,314.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,530.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,703.25 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $9,389.68 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $10,573.02 | ↑ +145% |
| KARNA | MEDICARE ADVANTAGE | $13,359.10 | ↑ +210% |
| AETNA | HMO | $14,694.86 | ↑ +241% |
| AETNA | PPO | $14,694.86 | ↑ +241% |
| HORIZON | OMNIA | $15,969.23 | ↑ +270% |
| HORIZON | WORKERS COMP | $16,071.92 | ↑ +272% |
| BERGEN RISK | ALL PRODUCTS | $17,505.00 | ↑ +306% |
| HORIZON | PIP | $17,505.00 | ↑ +306% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $18,672.00 | ↑ +333% |
| HORIZON | SHP | $19,159.81 | ↑ +344% |
| HORIZON | HMO | $19,736.30 | ↑ +357% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,839.00 | ↑ +360% |
| HORIZON | INDEMNITY | $19,890.35 | ↑ +361% |
| HORIZON | PPO | $20,235.78 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,006.00 | ↑ +387% |
| QUALCARE | HMO | $21,612.84 | ↑ +401% |
| QUALCARE | PPO | $21,612.84 | ↑ +401% |
| QUALCARE | WORKERS COMP | $21,612.84 | ↑ +401% |
| CIGNA | HMO | $22,320.04 | ↑ +417% |
| CIGNA | PPO | $22,320.04 | ↑ +417% |
| OXFORD | ALL PRODUCTS | $37,065.53 | ↑ +759% |
| UNITED HEALTHCARE | HMO | $37,065.53 | ↑ +759% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,314.91 | $4,314.91 – $37,065.53 |
| Hackensack University Medical Center | Hackensack | $4,314.91 | $3,451.93 – $17,259.85 |
| Ocean University Medical Center | Brick | $4,314.91 | $4,314.91 – $13,082.88 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,314.91 | $4,314.91 – $13,359.10 |
| Jersey Shore University Medical Center | Neptune City | $4,314.91 | $4,314.91 – $38,230.57 |
| Raritan Bay Medical Center | Perth Amboy | $4,314.91 | $4,314.91 – $37,065.53 |
| Riverview Medical Center | Red Bank | $4,314.91 | $4,314.91 – $37,065.53 |
| Southern Ocean Medical Center | Manahawkin | $4,314.91 | $4,314.91 – $13,082.88 |