Valvuloplasty mitral at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$13,355.34
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.
$14,293.00
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.
$2,254.00 with HORIZON vs $23,043.00 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 | $2,254.00 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $2,271.34 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $2,444.10 | ↓ -82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,486.98 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $2,572.74 | ↓ -81% |
| HORIZON | OMNIA | $7,017.00 | ↓ -47% |
| QUALCARE | PPO | $7,730.00 | ↓ -42% |
| QUALCARE | HMO | $7,730.00 | ↓ -42% |
| QUALCARE | WORKERS COMP | $7,730.00 | ↓ -42% |
| AETNA | HMO | $7,770.00 | ↓ -42% |
| AETNA | PPO | $7,770.00 | ↓ -42% |
| HORIZON | SHP | $7,997.00 | ↓ -40% |
| AMERIHEALTH | LOCAL HMO | $8,618.00 | ↓ -35% |
| HORIZON | HMO | $8,670.00 | ↓ -35% |
| HORIZON | INDEMNITY | $8,739.00 | ↓ -35% |
| HORIZON | PPO | $8,889.00 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $9,587.00 | ↓ -28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -26% |
| HORIZON | PIP | $10,719.75 | ↓ -20% |
| BERGEN RISK | ALL PRODUCTS | $10,719.75 | ↓ -20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,434.40 | ↓ -14% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,149.05 | ↓ -9% |
| CIGNA | PPO | $12,847.98 | ↓ -4% |
| CIGNA | HMO | $12,847.98 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $13,355.34 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13,355.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13,355.34 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13,355.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13,355.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13,355.34 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14,023.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14,557.32 | ↑ +9% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $18,283.00 | ↑ +37% |
| UNITED HEALTHCARE | HMO | $23,043.00 | ↑ +73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty mitral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,429.81 | $1,108.64 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $1,108.64 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,371.54 | $697.92 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $3,052.99 | $877.39 – $26,577.13 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $2,271.34 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $2,215.53 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $2,271.34 – $17,039.00 |