Anca screen with reflex to titer -quest at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$15.05
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.
?
What you pay up front if you don't use insurance.
$552.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.35 with HORIZON vs $150.84 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.35 | ↓ -31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $15.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $15.05 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $15.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.80 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $18.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $19.60 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $21.71 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $30.89 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $30.89 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $33.04 | ↑ +120% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $33.57 | ↑ +123% |
| CIGNA | HMO | $68.96 | ↑ +358% |
| CIGNA | PPO | $68.96 | ↑ +358% |
| QUALCARE | HMO | $76.38 | ↑ +408% |
| HORIZON | OMNIA | $98.22 | ↑ +553% |
| AETNA | HMO | $105.95 | ↑ +604% |
| AETNA | PPO | $105.95 | ↑ +604% |
| HORIZON | WORKERS COMP | $108.42 | ↑ +620% |
| BERGEN RISK | ALL PRODUCTS | $115.50 | ↑ +667% |
| HORIZON | SHP | $118.50 | ↑ +687% |
| QUALCARE | PPO | $119.66 | ↑ +695% |
| AETNA | ASA | $120.58 | ↑ +701% |
| HORIZON | HMO | $121.49 | ↑ +707% |
| HORIZON | PIP | $121.51 | ↑ +707% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $123.20 | ↑ +719% |
| CIGNA | BH | $123.20 | ↑ +719% |
| HORIZON | INDEMNITY | $123.25 | ↑ +719% |
| HORIZON | PPO | $124.32 | ↑ +726% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $130.90 | ↑ +770% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $130.90 | ↑ +770% |
| AMERIHEALTH | LOCAL HMO | $133.18 | ↑ +785% |
| QUALCARE | WORKERS COMP | $135.52 | ↑ +800% |
| AMERIHEALTH | REGIONAL HMO | $150.84 | ↑ +902% |
Visitor-reported prices
Comments
Anca screen with reflex to titer -quest at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $15.05 | $15.05 – $68.96 |
| Hackensack University Medical Center | Hackensack | $15.05 | $12.04 – $67.58 |
| Ocean University Medical Center | Brick | $15.05 | $9.90 – $68.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $15.05 | $9.90 – $70.83 |
| Jersey Shore University Medical Center | Neptune City | $15.05 | $12.04 – $68.96 |
| Palisades Medical Center | North Bergen | $15.05 | $14.76 – $68.96 |
| Raritan Bay Medical Center | Perth Amboy | $15.05 | $15.05 – $68.96 |
| Southern Ocean Medical Center | Manahawkin | $15.05 | $15.05 – $68.96 |