Apc gene dup/delet variants at Riverview Medical Center

1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Sep 4, 2026

$200.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,403.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$64.86 with AETNA vs $916.47 with CIGNA — 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 →

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 $64.86 ↓ -68%
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE $100.28 ↓ -50%
VACCN ALL PRODUCTS $200.00 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $200.00 ↑ +0%
WELLCARE MANAGED MEDICAID $200.00 ↑ +0%
CLOVER MEDICARE ADVANTAGE $200.00 ↑ +0%
SEOUL MEDICAL GROUP ALL PRODUCTS $200.00 ↑ +0%
AMERIGROUP MANAGED MEDICAID $200.00 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $210.00 ↑ +5%
AETNA MEDICARE ADVANTAGE $218.00 ↑ +9%
QUALCARE HMO $228.16 ↑ +14%
UNITED HEALTHCARE DSNP $240.00 ↑ +20%
KARNA MEDICARE ADVANTAGE $260.50 ↑ +30%
HORIZON OMNIA $293.39 ↑ +47%
UNITED HEALTHCARE MANAGED MEDICAID $314.20 ↑ +57%
AETNA PPO $316.48 ↑ +58%
AETNA HMO $316.48 ↑ +58%
HORIZON WORKERS COMP $323.84 ↑ +62%
HORIZON MANAGED MEDICAID $326.60 ↑ +63%
BERGEN RISK ALL PRODUCTS $345.00 ↑ +73%
HORIZON SHP $353.97 ↑ +77%
QUALCARE PPO $357.42 ↑ +79%
AETNA ASA $360.18 ↑ +80%
HORIZON HMO $362.89 ↑ +81%
HORIZON PIP $362.94 ↑ +81%
CIGNA BH $368.00 ↑ +84%
BRIGHTON HEALTH PLAN ALL PRODUCTS $368.00 ↑ +84%
HORIZON INDEMNITY $368.14 ↑ +84%
HORIZON PPO $371.36 ↑ +86%
MULTIPLAN - PHCS ALL PRODUCTS $391.00 ↑ +96%
ACTIVECARE FIRST MCO ALL PRODUCTS $391.00 ↑ +96%
AMERIHEALTH LOCAL HMO $397.81 ↑ +99%
QUALCARE WORKERS COMP $404.80 ↑ +102%
UNITED HEALTHCARE HMO $410.50 ↑ +105%
OXFORD ALL PRODUCTS $410.50 ↑ +105%
AMERIHEALTH REGIONAL HMO $450.57 ↑ +125%
CIGNA HMO $916.47 ↑ +358%
CIGNA PPO $916.47 ↑ +358%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Apc gene dup/delet variants at other New-jersey hospitals

Hospital City Cash price Negotiated range
Bayshore Medical Center Holmdel $200.00 $200.00 – $916.47
Hackensack University Medical Center Hackensack $200.00 $160.00 – $898.10
Ocean University Medical Center Brick $200.00 $176.00 – $916.47
JFK Johnson Rehabilitation Institute (JRI) Edison $200.00 $176.00 – $941.25
Jersey Shore University Medical Center Neptune City $200.00 $160.00 – $916.47
Palisades Medical Center North Bergen $200.00 $200.00 – $916.47
Raritan Bay Medical Center Perth Amboy $200.00 $200.00 – $916.47
Southern Ocean Medical Center Manahawkin $200.00 $200.00 – $916.47

All New-jersey hospitals for this procedure →