Breast reconstruction 19357 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$19,257.54
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.
$23,111.00
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.
$2,158.00 with HORIZON vs $23,258.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2,158.00 | ↓ -89% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -88% |
| KARNA | MEDICARE ADVANTAGE | $2,421.77 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $3,258.65 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $4,159.98 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $4,853.31 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,015.09 | ↓ -74% |
| CIGNA | HMO | $5,031.00 | ↓ -74% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,038.20 | ↓ -74% |
| CIGNA | PPO | $5,639.00 | ↓ -71% |
| QUALCARE | HMO | $6,256.00 | ↓ -68% |
| HORIZON | OMNIA | $6,990.00 | ↓ -64% |
| HORIZON | SHP | $7,997.00 | ↓ -58% |
| AETNA | HMO | $8,419.00 | ↓ -56% |
| AETNA | PPO | $8,419.00 | ↓ -56% |
| HORIZON | HMO | $8,624.00 | ↓ -55% |
| HORIZON | INDEMNITY | $8,743.00 | ↓ -55% |
| HORIZON | PPO | $8,826.00 | ↓ -54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -48% |
| QUALCARE | PPO | $10,231.00 | ↓ -47% |
| HORIZON | WORKERS COMP | $10,715.00 | ↓ -44% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↓ -27% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -19% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↓ -18% |
| AETNA | ASA | $18,095.91 | ↓ -6% |
| HORIZON | PIP | $18,234.58 | ↓ -5% |
| CIGNA | BH | $18,488.80 | ↓ -4% |
| OXFORD | ALL PRODUCTS | $18,636.00 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $19,257.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,257.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,257.54 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $19,644.35 | ↑ +2% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,644.35 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,220.41 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $23,109.05 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $23,258.00 | ↑ +21% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19,257.54 | $19,257.54 – $23,109.05 |
| Hackensack University Medical Center | Hackensack | $20,489.34 | $2,509.71 – $21,513.81 |
| Ocean University Medical Center | Brick | $19,014.31 | $2,421.77 – $25,103.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,274.24 | $1,219.12 – $25,103.18 |
| Jersey Shore University Medical Center | Neptune City | $19,257.54 | $2,421.77 – $23,109.05 |
| Palisades Medical Center | North Bergen | $20,489.34 | $1,200.83 – $22,333.38 |
| Raritan Bay Medical Center | Perth Amboy | $19,274.24 | $1,523.90 – $23,129.09 |
| Southern Ocean Medical Center | Manahawkin | $19,014.31 | $2,421.77 – $22,817.17 |