Bronchial valve remov addl at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,908.75
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.
$4,410.00
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.
$132.86 with KARNA vs $10,715.00 with HORIZON — 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 | $132.86 | ↓ -93% |
| AETNA | MANAGED MEDICAID | $621.81 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $793.80 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $956.97 | ↓ -50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -1% |
| VACCN | ALL PRODUCTS | $1,908.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,908.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,908.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,908.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,004.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,080.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,290.50 | ↑ +20% |
| HORIZON | OMNIA | $2,812.70 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $3,307.50 | ↑ +73% |
| HORIZON | SHP | $3,393.50 | ↑ +78% |
| QUALCARE | PPO | $3,426.57 | ↑ +80% |
| AETNA | ASA | $3,453.03 | ↑ +81% |
| HORIZON | HMO | $3,479.05 | ↑ +82% |
| HORIZON | PIP | $3,479.49 | ↑ +82% |
| CIGNA | BH | $3,528.00 | ↑ +85% |
| HORIZON | INDEMNITY | $3,529.32 | ↑ +85% |
| HORIZON | PPO | $3,560.19 | ↑ +87% |
| CIGNA | HMO | $3,591.00 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,748.50 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,748.50 | ↑ +96% |
| AMERIHEALTH | LOCAL HMO | $3,813.77 | ↑ +100% |
| QUALCARE | WORKERS COMP | $3,880.80 | ↑ +103% |
| CIGNA | PPO | $4,018.00 | ↑ +111% |
| AMERIHEALTH | REGIONAL HMO | $4,319.60 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +225% |
| QUALCARE | HMO | $6,256.00 | ↑ +228% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +303% |
| AETNA | PPO | $8,419.00 | ↑ +341% |
| AETNA | HMO | $8,419.00 | ↑ +341% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +420% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +461% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bronchial valve remov addl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,908.75 | $1,908.75 – $2,290.50 |
| Hackensack University Medical Center | Hackensack | $2,030.84 | $136.35 – $2,132.38 |
| Ocean University Medical Center | Brick | $1,884.64 | $132.86 – $2,261.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,910.40 | $62.48 – $1,910.40 |
| Jersey Shore University Medical Center | Neptune City | $1,908.75 | $132.86 – $2,290.50 |
| Palisades Medical Center | North Bergen | $2,030.84 | $61.54 – $2,213.61 |
| Raritan Bay Medical Center | Perth Amboy | $1,910.40 | $136.35 – $2,292.48 |
| Southern Ocean Medical Center | Manahawkin | $1,884.64 | $132.86 – $2,261.57 |