Bhv id assmt by phys/qhp at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$102.38
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.
$206.00
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.
$27.59 with KARNA vs $577.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $27.59 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $29.05 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.70 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $102.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $102.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $102.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $102.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $107.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $111.60 | ↑ +9% |
| QUALCARE | HMO | $113.71 | ↑ +11% |
| QUALCARE | PPO | $113.71 | ↑ +11% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $121.33 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $122.86 | ↑ +20% |
| HORIZON | OMNIA | $131.39 | ↑ +28% |
| HORIZON | WORKERS COMP | $145.02 | ↑ +42% |
| HORIZON | MANAGED MEDICAID | $146.26 | ↑ +43% |
| AETNA | PPO | $149.82 | ↑ +46% |
| AETNA | HMO | $149.82 | ↑ +46% |
| BERGEN RISK | ALL PRODUCTS | $154.50 | ↑ +51% |
| HORIZON | SHP | $158.52 | ↑ +55% |
| AETNA | ASA | $161.30 | ↑ +58% |
| HORIZON | HMO | $162.51 | ↑ +59% |
| HORIZON | PIP | $162.53 | ↑ +59% |
| CIGNA | BH | $164.80 | ↑ +61% |
| HORIZON | INDEMNITY | $164.86 | ↑ +61% |
| HORIZON | PPO | $166.30 | ↑ +62% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↑ +71% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $175.10 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $178.15 | ↑ +74% |
| QUALCARE | WORKERS COMP | $181.28 | ↑ +77% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $185.40 | ↑ +81% |
| CIGNA | PPO | $197.00 | ↑ +92% |
| CIGNA | HMO | $197.00 | ↑ +92% |
| AMERIHEALTH | REGIONAL HMO | $201.78 | ↑ +97% |
| OXFORD | ALL PRODUCTS | $399.00 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $577.00 | ↑ +464% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bhv id assmt by phys/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $121.50 | $68.37 – $68.37 |
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $393.00 |
| Hackensack University Medical Center | Hackensack | $108.93 | $28.18 – $1,673.00 |
| Ocean University Medical Center | Brick | $101.09 | $27.59 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $25.00 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $25.00 – $426.00 |
| Palisades Medical Center | North Bergen | $108.93 | $28.18 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $28.18 – $389.00 |