Biospy of bladder at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$269.20
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.
$545.00
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.
$76.85 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 | $76.85 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $98.10 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $118.27 | ↓ -56% |
| VACCN | ALL PRODUCTS | $269.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $269.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $282.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $293.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $323.04 | ↑ +20% |
| HORIZON | OMNIA | $347.60 | ↑ +29% |
| BERGEN RISK | ALL PRODUCTS | $408.75 | ↑ +52% |
| HORIZON | SHP | $419.38 | ↑ +56% |
| QUALCARE | PPO | $423.47 | ↑ +57% |
| AETNA | ASA | $426.74 | ↑ +59% |
| HORIZON | HMO | $429.95 | ↑ +60% |
| HORIZON | PIP | $430.01 | ↑ +60% |
| CIGNA | BH | $436.00 | ↑ +62% |
| HORIZON | INDEMNITY | $436.16 | ↑ +62% |
| HORIZON | PPO | $439.98 | ↑ +63% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $463.25 | ↑ +72% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $463.25 | ↑ +72% |
| AMERIHEALTH | LOCAL HMO | $471.32 | ↑ +75% |
| QUALCARE | WORKERS COMP | $479.60 | ↑ +78% |
| CIGNA | HMO | $489.90 | ↑ +82% |
| CIGNA | PPO | $489.90 | ↑ +82% |
| AMERIHEALTH | REGIONAL HMO | $533.83 | ↑ +98% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +342% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +603% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +949% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +1190% |
| QUALCARE | HMO | $6,256.00 | ↑ +2224% |
| AETNA | PPO | $8,419.00 | ↑ +3027% |
| AETNA | HMO | $8,419.00 | ↑ +3027% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3590% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +3880% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $229.13 – $300.74 |
| Ocean University Medical Center | Brick | $265.80 | $243.21 – $318.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $243.21 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $269.20 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $286.42 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $269.43 – $323.32 |
| Southern Ocean Medical Center | Manahawkin | $265.80 | $265.80 – $318.96 |