Biopsy of sacroiliac joint at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,771.43
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.
$5,875.00
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.
$828.38 with AETNA vs $10,715.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $828.38 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $868.13 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $1,057.50 | ↓ -40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,274.88 | ↓ -28% |
| HORIZON | MANAGED MEDICAID | $1,534.00 | ↓ -13% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| CIGNA | HMO | $3,591.00 | ↑ +103% |
| HORIZON | OMNIA | $3,747.08 | ↑ +112% |
| CIGNA | PPO | $4,018.00 | ↑ +127% |
| BERGEN RISK | ALL PRODUCTS | $4,406.25 | ↑ +149% |
| HORIZON | SHP | $4,520.81 | ↑ +155% |
| QUALCARE | PPO | $4,564.88 | ↑ +158% |
| AETNA | ASA | $4,600.13 | ↑ +160% |
| HORIZON | HMO | $4,634.79 | ↑ +162% |
| HORIZON | PIP | $4,635.38 | ↑ +162% |
| CIGNA | BH | $4,700.00 | ↑ +165% |
| HORIZON | INDEMNITY | $4,701.76 | ↑ +165% |
| HORIZON | PPO | $4,742.89 | ↑ +168% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,993.75 | ↑ +182% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,993.75 | ↑ +182% |
| AMERIHEALTH | LOCAL HMO | $5,080.70 | ↑ +187% |
| QUALCARE | WORKERS COMP | $5,170.00 | ↑ +192% |
| AMERIHEALTH | REGIONAL HMO | $5,754.56 | ↑ +225% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +367% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +481% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +505% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of sacroiliac joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |
| Hackensack University Medical Center | Hackensack | $1,884.74 | $901.29 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $868.13 – $2,098.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $313.32 – $1,772.97 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $868.13 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $901.29 – $2,054.37 |
| Raritan Bay Medical Center | Perth Amboy | $1,772.97 | $901.29 – $2,127.56 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $868.13 – $2,098.87 |