Aco med nutria tx/group, ea 30 min 97804aco at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$19.31
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.
$105.00
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.
$14.81 with AETNA vs $527.00 with AMERIHEALTH — 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 | $14.81 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $18.90 | ↓ -2% |
| AMERIGROUP | MANAGED MEDICAID | $19.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21.05 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $22.79 | ↑ +18% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $22.89 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $23.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $25.32 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $61.85 | ↑ +220% |
| HORIZON | OMNIA | $66.97 | ↑ +247% |
| HORIZON | WORKERS COMP | $73.92 | ↑ +283% |
| HORIZON | MANAGED MEDICAID | $74.55 | ↑ +286% |
| HORIZON - JRI@RMC | PIP | $74.82 | ↑ +287% |
| HORIZON - JRI@RMC | WORKERS COMP | $74.82 | ↑ +287% |
| BERGEN RISK | ALL PRODUCTS | $78.75 | ↑ +308% |
| HORIZON | SHP | $80.80 | ↑ +318% |
| QUALCARE | PPO | $81.59 | ↑ +323% |
| QUALCARE | HMO | $81.59 | ↑ +323% |
| AETNA | ASA | $82.22 | ↑ +326% |
| HORIZON | HMO | $82.83 | ↑ +329% |
| HORIZON | PIP | $82.85 | ↑ +329% |
| CIGNA | BH | $84.00 | ↑ +335% |
| HORIZON | INDEMNITY | $84.03 | ↑ +335% |
| HORIZON | PPO | $84.77 | ↑ +339% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $89.25 | ↑ +362% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $89.25 | ↑ +362% |
| QUALCARE | WORKERS COMP | $92.40 | ↑ +379% |
| AETNA | HMO | $94.50 | ↑ +389% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $94.50 | ↑ +389% |
| AETNA | PPO | $94.50 | ↑ +389% |
| CIGNA | PPO | $100.41 | ↑ +420% |
| CIGNA | HMO | $100.41 | ↑ +420% |
| OXFORD | ALL PRODUCTS | $315.00 | ↑ +1531% |
| UNITED HEALTHCARE | HMO | $327.00 | ↑ +1593% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +2308% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +2629% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19.31 | $19.31 – $465.00 |
| Hackensack University Medical Center | Hackensack | $19.31 | $15.45 – $1,496.00 |
| Ocean University Medical Center | Brick | $19.31 | $19.31 – $465.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.31 | $19.31 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $19.31 | $15.45 – $443.00 |
| Palisades Medical Center | North Bergen | $19.31 | $19.31 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $19.31 | $19.31 – $308.00 |
| Southern Ocean Medical Center | Manahawkin | $19.31 | $19.31 – $465.00 |