X-ray sinus tract/fistula/abscess at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$645.71
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.
$1,128.00
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.
$34.44 with HORIZON vs $1,307.42 with OXFORD — 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 | $34.44 | ↓ -95% |
| AETNA | HMO | $76.35 | ↓ -88% |
| AETNA | PPO | $76.35 | ↓ -88% |
| KARNA | MEDICARE ADVANTAGE | $113.98 | ↓ -82% |
| CIGNA | HMO | $126.98 | ↓ -80% |
| CIGNA | PPO | $126.98 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $192.89 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $196.27 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $203.04 | ↓ -69% |
| WELLCARE | MANAGED MEDICAID | $645.71 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $645.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $645.71 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $678.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $703.82 | ↑ +9% |
| HORIZON | OMNIA | $771.78 | ↑ +20% |
| HORIZON | WORKERS COMP | $776.74 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $846.00 | ↑ +31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $846.00 | ↑ +31% |
| HORIZON | PIP | $846.00 | ↑ +31% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $902.40 | ↑ +40% |
| HORIZON | SHP | $925.98 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $944.47 | ↑ +46% |
| HORIZON | HMO | $953.84 | ↑ +48% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $958.80 | ↑ +48% |
| HORIZON | INDEMNITY | $961.28 | ↑ +49% |
| HORIZON | PPO | $977.98 | ↑ +51% |
| QUALCARE | WORKERS COMP | $1,044.53 | ↑ +62% |
| QUALCARE | PPO | $1,044.53 | ↑ +62% |
| QUALCARE | HMO | $1,044.53 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $1,054.12 | ↑ +63% |
| UNITED HEALTHCARE | HMO | $1,307.42 | ↑ +102% |
| OXFORD | ALL PRODUCTS | $1,307.42 | ↑ +102% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $215.47 | $17.25 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $241.98 | $34.44 – $1,230.30 |
| Community Medical Center | Toms River | $238.09 | $34.44 – $1,192.47 |
| Clara Maass Medical Center | Belleville | $214.21 | $34.44 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $237.87 | $31.74 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $238.55 | $34.44 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $251.18 | $34.44 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $78.93 – $1,307.42 |