Breast augmentation 19325 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$10,591.60
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.
?
What you pay up front if you don't use insurance.
$15,468.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,286.53 with KARNA vs $23,258.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,286.53 | ↓ -88% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $2,180.99 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $2,784.24 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $3,248.28 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,356.56 | ↓ -68% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,372.02 | ↓ -68% |
| QUALCARE | HMO | $6,256.00 | ↓ -41% |
| HORIZON | OMNIA | $6,990.00 | ↓ -34% |
| HORIZON | SHP | $7,997.00 | ↓ -24% |
| AETNA | PPO | $8,419.00 | ↓ -21% |
| AETNA | HMO | $8,419.00 | ↓ -21% |
| HORIZON | HMO | $8,624.00 | ↓ -19% |
| HORIZON | INDEMNITY | $8,743.00 | ↓ -17% |
| HORIZON | PPO | $8,826.00 | ↓ -17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -6% |
| QUALCARE | PPO | $10,231.00 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $10,591.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $10,591.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $10,591.60 | ↑ +0% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +1% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11,121.18 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $11,601.00 | ↑ +10% |
| AETNA | ASA | $12,111.44 | ↑ +14% |
| HORIZON | PIP | $12,204.25 | ↑ +15% |
| CIGNA | BH | $12,374.40 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $12,709.92 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $13,147.80 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,147.80 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $13,376.73 | ↑ +26% |
| CIGNA | HMO | $13,904.19 | ↑ +31% |
| CIGNA | PPO | $13,904.19 | ↑ +31% |
| AMERIHEALTH | REGIONAL HMO | $15,150.91 | ↑ +43% |
| OXFORD | ALL PRODUCTS | $18,636.00 | ↑ +76% |
| UNITED HEALTHCARE | HMO | $23,258.00 | ↑ +120% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast augmentation 19325 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $10,591.60 | $10,591.60 – $12,709.92 |
| Hackensack University Medical Center | Hackensack | $11,269.09 | $1,332.45 – $11,832.54 |
| Ocean University Medical Center | Brick | $10,457.82 | $1,286.53 – $15,419.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $10,600.79 | $539.92 – $15,419.08 |
| Jersey Shore University Medical Center | Neptune City | $10,591.60 | $1,286.53 – $12,709.92 |
| Palisades Medical Center | North Bergen | $11,269.09 | $531.82 – $12,283.31 |
| Raritan Bay Medical Center | Perth Amboy | $10,600.79 | $674.90 – $12,720.94 |
| Southern Ocean Medical Center | Manahawkin | $10,457.82 | $1,286.53 – $12,549.39 |