X-ray exam of mastoids at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$125.23
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.
$337.00
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.
$28.24 with HORIZON vs $312.06 with QUALCARE — 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 | $28.24 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $57.63 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.64 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $60.66 | ↓ -52% |
| AETNA | PPO | $65.04 | ↓ -48% |
| AETNA | HMO | $65.04 | ↓ -48% |
| AMERIHEALTH | LOCAL HMO | $65.64 | ↓ -48% |
| AMERIHEALTH | REGIONAL HMO | $65.70 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $74.33 | ↓ -41% |
| CIGNA | PPO | $104.77 | ↓ -16% |
| CIGNA | HMO | $104.77 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $125.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.23 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $125.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $131.49 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $136.50 | ↑ +9% |
| HORIZON | OMNIA | $230.58 | ↑ +84% |
| HORIZON | WORKERS COMP | $232.06 | ↑ +85% |
| HORIZON | PIP | $252.75 | ↑ +102% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $252.75 | ↑ +102% |
| BERGEN RISK | ALL PRODUCTS | $252.75 | ↑ +102% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $269.60 | ↑ +115% |
| HORIZON | SHP | $276.64 | ↑ +121% |
| HORIZON | HMO | $284.97 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $286.45 | ↑ +129% |
| HORIZON | INDEMNITY | $287.19 | ↑ +129% |
| HORIZON | PPO | $292.18 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +136% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +136% |
| QUALCARE | PPO | $312.06 | ↑ +149% |
| QUALCARE | HMO | $312.06 | ↑ +149% |
| QUALCARE | WORKERS COMP | $312.06 | ↑ +149% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $58.18 | $19.99 – $232.44 |
| Childrens Specialized Hospital | Mountainside | $120.50 | $17.22 – $655.00 |
| Jersey City Medical Center | Jersey City | $64.41 | $25.87 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $25.60 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $58.70 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $46.88 – $123.59 |