Special physics consult at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$156.36
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.
$1,705.00
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.
$96.43 with HORIZON vs $2,826.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $96.43 | ↓ -38% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $156.36 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.36 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $156.36 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $156.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $156.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $156.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $170.43 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $284.05 | ↑ +82% |
| AETNA | MANAGED MEDICAID | $291.56 | ↑ +86% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $296.67 | ↑ +90% |
| CLOVER | MEDICARE ADVANTAGE | $306.90 | ↑ +96% |
| AETNA | PPO | $325.13 | ↑ +108% |
| AETNA | HMO | $325.13 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $903.65 | ↑ +478% |
| HORIZON | OMNIA | $1,166.56 | ↑ +646% |
| HORIZON | WORKERS COMP | $1,174.06 | ↑ +651% |
| BERGEN RISK | ALL PRODUCTS | $1,278.75 | ↑ +718% |
| HORIZON | PIP | $1,278.75 | ↑ +718% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,364.00 | ↑ +772% |
| HORIZON | SHP | $1,399.63 | ↑ +795% |
| AMERIHEALTH | LOCAL HMO | $1,427.60 | ↑ +813% |
| HORIZON | HMO | $1,441.75 | ↑ +822% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,449.25 | ↑ +827% |
| HORIZON | INDEMNITY | $1,453.00 | ↑ +829% |
| HORIZON | PPO | $1,478.24 | ↑ +845% |
| QUALCARE | PPO | $1,578.83 | ↑ +910% |
| QUALCARE | WORKERS COMP | $1,578.83 | ↑ +910% |
| QUALCARE | HMO | $1,578.83 | ↑ +910% |
| AMERIHEALTH | REGIONAL HMO | $1,593.32 | ↑ +919% |
| CIGNA | HMO | $1,630.49 | ↑ +943% |
| CIGNA | PPO | $1,630.49 | ↑ +943% |
| OXFORD | ALL PRODUCTS | $2,755.00 | ↑ +1662% |
| UNITED HEALTHCARE | HMO | $2,826.00 | ↑ +1707% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $324.72 | $76.06 – $491.06 |
| Cooperman Barnabas Medical Center | Livingston | $415.74 | $96.43 – $597.00 |
| Community Medical Center | Toms River | $358.80 | $96.43 – $288.75 |
| Clara Maass Medical Center | Belleville | $579.19 | $96.43 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $408.68 | $78.30 – $597.00 |
| Jersey City Medical Center | Jersey City | $359.49 | $96.43 – $521.31 |
| Monmouth Medical Center | Long Branch | $378.52 | $96.43 – $597.00 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |