Cath left heart/lv gram at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,560.12
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.
$15,597.00
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.
$1,503.95 with KARNA vs $22,114.00 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 | $1,503.95 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $2,199.18 | ↓ -38% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $2,807.46 | ↓ -21% |
| HORIZON | MANAGED MEDICAID | $3,314.00 | ↓ -7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,384.55 | ↓ -5% |
| VACCN | ALL PRODUCTS | $3,560.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,560.12 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,560.12 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,560.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,738.12 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,880.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,272.14 | ↑ +20% |
| HORIZON | OMNIA | $6,990.00 | ↑ +96% |
| HORIZON | SHP | $7,997.00 | ↑ +125% |
| HORIZON | HMO | $8,624.00 | ↑ +142% |
| HORIZON | INDEMNITY | $8,743.00 | ↑ +146% |
| HORIZON | PPO | $8,826.00 | ↑ +148% |
| AETNA | PPO | $9,218.00 | ↑ +159% |
| AETNA | HMO | $9,218.00 | ↑ +159% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +201% |
| QUALCARE | HMO | $10,873.00 | ↑ +205% |
| QUALCARE | PPO | $11,627.00 | ↑ +227% |
| BERGEN RISK | ALL PRODUCTS | $11,697.75 | ↑ +229% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +235% |
| AETNA | ASA | $12,212.45 | ↑ +243% |
| HORIZON | PIP | $12,306.03 | ↑ +246% |
| CIGNA | BH | $12,477.60 | ↑ +250% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,257.45 | ↑ +272% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $13,257.45 | ↑ +272% |
| QUALCARE | WORKERS COMP | $13,725.36 | ↑ +286% |
| CIGNA | HMO | $14,877.00 | ↑ +318% |
| OXFORD | ALL PRODUCTS | $15,785.00 | ↑ +343% |
| CIGNA | PPO | $17,085.00 | ↑ +380% |
| AMERIHEALTH | LOCAL HMO | $19,565.00 | ↑ +450% |
| UNITED HEALTHCARE | HMO | $19,690.00 | ↑ +453% |
| AMERIHEALTH | REGIONAL HMO | $22,114.00 | ↑ +521% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cath left heart/lv gram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |
| Hackensack University Medical Center | Hackensack | $3,787.84 | $1,579.62 – $3,977.23 |
| Ocean University Medical Center | Brick | $3,515.15 | $1,503.95 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,563.20 | $1,579.62 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $3,560.12 | $1,503.95 – $4,272.14 |
| Palisades Medical Center | North Bergen | $3,787.84 | $922.67 – $4,128.74 |
| Raritan Bay Medical Center | Perth Amboy | $3,563.20 | $1,579.62 – $9,707.20 |
| Southern Ocean Medical Center | Manahawkin | $3,515.15 | $1,503.95 – $4,218.18 |