_afb org id by sequencing rflx ast-sendout at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$115.36
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.
$595.00
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.
$54.29 with AETNA vs $528.62 with CIGNA — 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 | $54.29 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $75.16 | ↓ -35% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $83.93 | ↓ -27% |
| CLOVER | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $115.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $115.36 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $115.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $115.36 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $115.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $121.13 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $125.74 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $138.43 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $150.26 | ↑ +30% |
| QUALCARE | HMO | $190.96 | ↑ +66% |
| UNITED HEALTHCARE | HMO | $236.78 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $236.78 | ↑ +105% |
| HORIZON | OMNIA | $245.55 | ↑ +113% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $259.56 | ↑ +125% |
| AETNA | PPO | $264.88 | ↑ +130% |
| AETNA | HMO | $264.88 | ↑ +130% |
| HORIZON | WORKERS COMP | $271.04 | ↑ +135% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +150% |
| HORIZON | SHP | $296.26 | ↑ +157% |
| QUALCARE | PPO | $299.15 | ↑ +159% |
| AETNA | ASA | $301.46 | ↑ +161% |
| HORIZON | HMO | $303.73 | ↑ +163% |
| HORIZON | PIP | $303.77 | ↑ +163% |
| CIGNA | BH | $308.00 | ↑ +167% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $308.00 | ↑ +167% |
| HORIZON | INDEMNITY | $308.12 | ↑ +167% |
| HORIZON | PPO | $310.81 | ↑ +169% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +184% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +184% |
| AMERIHEALTH | LOCAL HMO | $332.95 | ↑ +189% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +194% |
| AMERIHEALTH | REGIONAL HMO | $377.11 | ↑ +227% |
| CIGNA | HMO | $528.62 | ↑ +358% |
| CIGNA | PPO | $528.62 | ↑ +358% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $115.36 | $115.36 – $528.62 |
| Hackensack University Medical Center | Hackensack | $115.36 | $92.29 – $518.02 |
| Ocean University Medical Center | Brick | $115.36 | $101.52 – $528.62 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $115.36 | $101.52 – $542.91 |
| Jersey Shore University Medical Center | Neptune City | $115.36 | $92.29 – $528.62 |
| Palisades Medical Center | North Bergen | $115.36 | $107.19 – $528.62 |
| Raritan Bay Medical Center | Perth Amboy | $115.36 | $115.36 – $528.62 |
| Southern Ocean Medical Center | Manahawkin | $115.36 | $115.36 – $528.62 |