Block brachial plexus w/cath plmt w/img at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$985.43
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.
$2,328.00
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.
$154.82 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $154.82 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $328.25 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $419.04 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $505.18 | ↓ -49% |
| WELLCARE | MANAGED MEDICAID | $985.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $985.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,034.70 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,074.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,182.51 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +21% |
| HORIZON | OMNIA | $1,484.80 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $1,746.00 | ↑ +77% |
| HORIZON | SHP | $1,791.40 | ↑ +82% |
| QUALCARE | PPO | $1,808.86 | ↑ +84% |
| AETNA | ASA | $1,822.82 | ↑ +85% |
| HORIZON | HMO | $1,836.56 | ↑ +86% |
| HORIZON | PIP | $1,836.79 | ↑ +86% |
| CIGNA | BH | $1,862.40 | ↑ +89% |
| HORIZON | INDEMNITY | $1,863.10 | ↑ +89% |
| HORIZON | PPO | $1,879.39 | ↑ +91% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +92% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,978.80 | ↑ +101% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,978.80 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $2,013.25 | ↑ +104% |
| QUALCARE | WORKERS COMP | $2,048.64 | ↑ +108% |
| CIGNA | HMO | $2,250.00 | ↑ +128% |
| AMERIHEALTH | REGIONAL HMO | $2,280.28 | ↑ +131% |
| CIGNA | PPO | $2,522.00 | ↑ +156% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +318% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +417% |
| QUALCARE | HMO | $6,256.00 | ↑ +535% |
| AETNA | PPO | $8,419.00 | ↑ +754% |
| AETNA | HMO | $8,419.00 | ↑ +754% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +908% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +987% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Block brachial plexus w/cath plmt w/img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |
| Hackensack University Medical Center | Hackensack | $1,048.46 | $158.42 – $1,100.88 |
| Ocean University Medical Center | Brick | $972.98 | $154.82 – $1,167.58 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $986.28 | $158.42 – $986.28 |
| Jersey Shore University Medical Center | Neptune City | $985.43 | $154.82 – $1,182.51 |
| Palisades Medical Center | North Bergen | $1,048.46 | $158.42 – $1,142.82 |
| Raritan Bay Medical Center | Perth Amboy | $986.28 | $158.42 – $1,183.54 |
| Southern Ocean Medical Center | Manahawkin | $972.98 | $154.82 – $1,167.58 |