Bronch thermoplsty 1 lobe at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$7,662.21
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.
$10,941.00
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.
$378.54 with KARNA vs $10,716.71 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $378.54 | ↓ -95% |
| AETNA | MANAGED MEDICAID | $1,542.68 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $1,969.38 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,374.20 | ↓ -69% |
| HORIZON | OMNIA | $6,351.00 | ↓ -17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,444.25 | ↓ -16% |
| OXFORD | ALL PRODUCTS | $6,746.22 | ↓ -12% |
| HORIZON | SHP | $7,337.00 | ↓ -4% |
| VACCN | ALL PRODUCTS | $7,662.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,662.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,662.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,662.21 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $7,768.11 | ↑ +1% |
| HORIZON | HMO | $7,841.00 | ↑ +2% |
| HORIZON | INDEMNITY | $7,948.00 | ↑ +4% |
| HORIZON | PPO | $8,024.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,045.32 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $8,205.75 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $8,351.80 | ↑ +9% |
| AETNA | HMO | $8,419.00 | ↑ +10% |
| AETNA | PPO | $8,419.00 | ↑ +10% |
| QUALCARE | HMO | $8,501.16 | ↑ +11% |
| QUALCARE | PPO | $8,501.16 | ↑ +11% |
| AETNA | ASA | $8,566.80 | ↑ +12% |
| HORIZON | PIP | $8,632.45 | ↑ +13% |
| CIGNA | BH | $8,752.80 | ↑ +14% |
| UNITED HEALTHCARE | HMO | $8,878.62 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $9,194.65 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,299.85 | ↑ +21% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,299.85 | ↑ +21% |
| AMERIHEALTH | LOCAL HMO | $9,461.78 | ↑ +23% |
| QUALCARE | WORKERS COMP | $9,628.08 | ↑ +26% |
| CIGNA | HMO | $9,834.86 | ↑ +28% |
| CIGNA | PPO | $9,834.86 | ↑ +28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,846.90 | ↑ +29% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +32% |
| AMERIHEALTH | REGIONAL HMO | $10,716.71 | ↑ +40% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bronch thermoplsty 1 lobe at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,662.21 | $7,662.21 – $9,194.65 |
| Hackensack University Medical Center | Hackensack | $8,152.32 | $388.68 – $8,559.93 |
| Ocean University Medical Center | Brick | $7,565.43 | $378.54 – $9,078.51 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,668.85 | $190.76 – $7,668.85 |
| Jersey Shore University Medical Center | Neptune City | $7,662.21 | $378.54 – $9,194.65 |
| Palisades Medical Center | North Bergen | $8,152.32 | $187.90 – $8,886.02 |
| Raritan Bay Medical Center | Perth Amboy | $7,668.85 | $238.45 – $9,202.62 |
| Southern Ocean Medical Center | Manahawkin | $7,565.43 | $378.54 – $9,078.51 |