C1 esterase inhibitor func - sendout at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$12.00
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.
$392.00
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.
$10.35 with HORIZON vs $81.30 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $10.35 | ↓ -14% |
| AETNA | MANAGED MEDICAID | $11.70 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $12.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.60 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13.08 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14.40 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.63 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $18.09 | ↑ +51% |
| OXFORD | ALL PRODUCTS | $24.63 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $24.63 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.36 | ↑ +120% |
| QUALCARE | HMO | $41.17 | ↑ +243% |
| HORIZON | OMNIA | $52.94 | ↑ +341% |
| CIGNA | HMO | $54.99 | ↑ +358% |
| CIGNA | PPO | $54.99 | ↑ +358% |
| AETNA | HMO | $57.10 | ↑ +376% |
| AETNA | PPO | $57.10 | ↑ +376% |
| HORIZON | WORKERS COMP | $58.43 | ↑ +387% |
| BERGEN RISK | ALL PRODUCTS | $62.25 | ↑ +419% |
| HORIZON | SHP | $63.87 | ↑ +432% |
| QUALCARE | PPO | $64.49 | ↑ +437% |
| AETNA | ASA | $64.99 | ↑ +442% |
| HORIZON | HMO | $65.48 | ↑ +446% |
| HORIZON | PIP | $65.49 | ↑ +446% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $66.40 | ↑ +453% |
| CIGNA | BH | $66.40 | ↑ +453% |
| HORIZON | INDEMNITY | $66.42 | ↑ +454% |
| HORIZON | PPO | $67.01 | ↑ +458% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $70.55 | ↑ +488% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $70.55 | ↑ +488% |
| AMERIHEALTH | LOCAL HMO | $71.78 | ↑ +498% |
| QUALCARE | WORKERS COMP | $73.04 | ↑ +509% |
| AMERIHEALTH | REGIONAL HMO | $81.30 | ↑ +578% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12.00 | $12.00 – $54.99 |
| Hackensack University Medical Center | Hackensack | $12.00 | $9.60 – $53.89 |
| Ocean University Medical Center | Brick | $12.00 | $9.90 – $54.99 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12.00 | $9.90 – $56.47 |
| Jersey Shore University Medical Center | Neptune City | $12.00 | $9.60 – $54.99 |
| Palisades Medical Center | North Bergen | $12.00 | $12.00 – $54.99 |
| Raritan Bay Medical Center | Perth Amboy | $12.00 | $12.00 – $54.99 |
| Southern Ocean Medical Center | Manahawkin | $12.00 | $12.00 – $54.99 |