Carbohydrate deficient transf - sendout at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$18.06
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.
$842.00
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.
$11.76 with HORIZON vs $95.01 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 | $11.76 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $13.68 | ↓ -24% |
| VACCN | ALL PRODUCTS | $18.06 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $18.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $18.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $18.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.06 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.69 | ↑ +9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $21.15 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $21.67 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.52 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $37.07 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $37.07 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $39.64 | ↑ +119% |
| QUALCARE | HMO | $48.11 | ↑ +166% |
| HORIZON | OMNIA | $61.87 | ↑ +243% |
| AETNA | HMO | $66.74 | ↑ +270% |
| AETNA | PPO | $66.74 | ↑ +270% |
| HORIZON | WORKERS COMP | $68.29 | ↑ +278% |
| BERGEN RISK | ALL PRODUCTS | $72.75 | ↑ +303% |
| HORIZON | SHP | $74.64 | ↑ +313% |
| QUALCARE | PPO | $75.37 | ↑ +317% |
| AETNA | ASA | $75.95 | ↑ +321% |
| HORIZON | HMO | $76.52 | ↑ +324% |
| HORIZON | PIP | $76.53 | ↑ +324% |
| CIGNA | BH | $77.60 | ↑ +330% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $77.60 | ↑ +330% |
| HORIZON | INDEMNITY | $77.63 | ↑ +330% |
| HORIZON | PPO | $78.31 | ↑ +334% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $82.45 | ↑ +357% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $82.45 | ↑ +357% |
| CIGNA | PPO | $82.76 | ↑ +358% |
| CIGNA | HMO | $82.76 | ↑ +358% |
| AMERIHEALTH | LOCAL HMO | $83.89 | ↑ +365% |
| QUALCARE | WORKERS COMP | $85.36 | ↑ +373% |
| AMERIHEALTH | REGIONAL HMO | $95.01 | ↑ +426% |
Visitor-reported prices
Comments
Carbohydrate deficient transf - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $18.06 | $18.06 – $82.76 |
| Hackensack University Medical Center | Hackensack | $18.06 | $14.45 – $81.10 |
| Ocean University Medical Center | Brick | $18.06 | $8.75 – $82.76 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $18.06 | $8.75 – $84.99 |
| Jersey Shore University Medical Center | Neptune City | $18.06 | $14.45 – $82.76 |
| Palisades Medical Center | North Bergen | $18.06 | $16.78 – $82.76 |
| Raritan Bay Medical Center | Perth Amboy | $18.06 | $18.06 – $82.76 |
| Southern Ocean Medical Center | Manahawkin | $18.06 | $18.06 – $82.76 |