Assay of feces porphyrins at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$39.11
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.
$290.00
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.
$39.11 with AMERIGROUP vs $284.06 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $39.11 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $39.11 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $39.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $39.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $39.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $39.11 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $39.68 | ↑ +1% |
| AETNA | MANAGED MEDICAID | $40.89 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $42.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $46.93 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $50.94 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $55.91 | ↑ +43% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $63.22 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $80.27 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $80.27 | ↑ +105% |
| QUALCARE | HMO | $143.84 | ↑ +268% |
| CIGNA | HMO | $179.22 | ↑ +358% |
| CIGNA | PPO | $179.22 | ↑ +358% |
| HORIZON | OMNIA | $184.96 | ↑ +373% |
| AETNA | HMO | $199.52 | ↑ +410% |
| AETNA | PPO | $199.52 | ↑ +410% |
| HORIZON | WORKERS COMP | $204.16 | ↑ +422% |
| BERGEN RISK | ALL PRODUCTS | $217.50 | ↑ +456% |
| HORIZON | SHP | $223.16 | ↑ +471% |
| QUALCARE | PPO | $225.33 | ↑ +476% |
| AETNA | ASA | $227.07 | ↑ +481% |
| HORIZON | HMO | $228.78 | ↑ +485% |
| HORIZON | PIP | $228.81 | ↑ +485% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $232.00 | ↑ +493% |
| CIGNA | BH | $232.00 | ↑ +493% |
| HORIZON | INDEMNITY | $232.09 | ↑ +493% |
| HORIZON | PPO | $234.12 | ↑ +499% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $246.50 | ↑ +530% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $246.50 | ↑ +530% |
| AMERIHEALTH | LOCAL HMO | $250.79 | ↑ +541% |
| QUALCARE | WORKERS COMP | $255.20 | ↑ +553% |
| AMERIHEALTH | REGIONAL HMO | $284.06 | ↑ +626% |
Visitor-reported prices
Comments
Assay of feces porphyrins at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $39.11 | $39.11 – $179.22 |
| Hackensack University Medical Center | Hackensack | $39.11 | $31.29 – $175.62 |
| Ocean University Medical Center | Brick | $39.11 | $37.95 – $179.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $39.11 | $37.95 – $184.06 |
| Jersey Shore University Medical Center | Neptune City | $39.11 | $31.29 – $179.22 |
| Palisades Medical Center | North Bergen | $39.11 | $39.11 – $179.22 |
| Raritan Bay Medical Center | Perth Amboy | $39.11 | $39.11 – $179.22 |
| Southern Ocean Medical Center | Manahawkin | $39.11 | $39.11 – $179.22 |