Borrelia burgdorferi (lyme disease) antibody nonspecific at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$17.03
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.
$165.00
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.
$17.03 with CLOVER vs $161.62 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.03 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.03 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $18.56 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $20.44 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $22.18 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $23.27 | ↑ +37% |
| HORIZON | MANAGED MEDICAID | $33.93 | ↑ +99% |
| UNITED HEALTHCARE | HMO | $34.95 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $34.95 | ↑ +105% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $35.97 | ↑ +111% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $37.39 | ↑ +120% |
| CIGNA | HMO | $78.04 | ↑ +358% |
| CIGNA | PPO | $78.04 | ↑ +358% |
| QUALCARE | HMO | $81.84 | ↑ +381% |
| HORIZON | OMNIA | $105.24 | ↑ +518% |
| AETNA | HMO | $113.52 | ↑ +567% |
| AETNA | PPO | $113.52 | ↑ +567% |
| HORIZON | WORKERS COMP | $116.16 | ↑ +582% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +627% |
| HORIZON | SHP | $126.97 | ↑ +646% |
| QUALCARE | PPO | $128.21 | ↑ +653% |
| AETNA | ASA | $129.20 | ↑ +659% |
| HORIZON | HMO | $130.17 | ↑ +664% |
| HORIZON | PIP | $130.19 | ↑ +664% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $132.00 | ↑ +675% |
| CIGNA | BH | $132.00 | ↑ +675% |
| HORIZON | INDEMNITY | $132.05 | ↑ +675% |
| HORIZON | PPO | $133.20 | ↑ +682% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +724% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $140.25 | ↑ +724% |
| AMERIHEALTH | LOCAL HMO | $142.69 | ↑ +738% |
| QUALCARE | WORKERS COMP | $145.20 | ↑ +753% |
| AMERIHEALTH | REGIONAL HMO | $161.62 | ↑ +849% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $66.00 | $23.93 – $23.93 |
| Bayshore Medical Center | Holmdel | $17.03 | $17.03 – $78.04 |
| Hackensack University Medical Center | Hackensack | $17.03 | $13.62 – $76.47 |
| Ocean University Medical Center | Brick | $17.03 | $17.03 – $78.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.03 | $17.03 – $80.15 |
| Jersey Shore University Medical Center | Neptune City | $17.03 | $13.62 – $78.04 |
| Palisades Medical Center | North Bergen | $17.03 | $17.03 – $78.04 |
| Raritan Bay Medical Center | Perth Amboy | $17.03 | $17.03 – $78.04 |