Autologous blood process at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$189.67
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.
$613.00
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.
$34.56 with HORIZON vs $600.43 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $34.56 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $86.43 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $109.55 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $110.34 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $133.02 | ↓ -30% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $224.64 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| QUALCARE | HMO | $304.05 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| HORIZON | OMNIA | $390.97 | ↑ +106% |
| AETNA | HMO | $421.74 | ↑ +122% |
| AETNA | PPO | $421.74 | ↑ +122% |
| HORIZON | WORKERS COMP | $431.55 | ↑ +128% |
| BERGEN RISK | ALL PRODUCTS | $459.75 | ↑ +142% |
| HORIZON | SHP | $471.70 | ↑ +149% |
| QUALCARE | PPO | $476.30 | ↑ +151% |
| AETNA | ASA | $479.98 | ↑ +153% |
| HORIZON | HMO | $483.60 | ↑ +155% |
| HORIZON | PIP | $483.66 | ↑ +155% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $490.40 | ↑ +159% |
| CIGNA | BH | $490.40 | ↑ +159% |
| HORIZON | INDEMNITY | $490.58 | ↑ +159% |
| HORIZON | PPO | $494.87 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $521.05 | ↑ +175% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $521.05 | ↑ +175% |
| AMERIHEALTH | LOCAL HMO | $530.12 | ↑ +179% |
| QUALCARE | WORKERS COMP | $539.44 | ↑ +184% |
| CIGNA | HMO | $586.21 | ↑ +209% |
| CIGNA | PPO | $586.21 | ↑ +209% |
| AMERIHEALTH | REGIONAL HMO | $600.43 | ↑ +217% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Autologous blood process at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $109.55 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $44.68 – $344.49 |
| Ocean University Medical Center | Brick | $187.28 | $82.50 – $306.15 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $82.50 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $109.55 – $333.37 |
| Palisades Medical Center | North Bergen | $201.80 | $49.28 – $629.14 |
| Raritan Bay Medical Center | Perth Amboy | $189.84 | $109.55 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $109.55 – $306.15 |