Chimerism anal w/cell select at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$260.79
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.
$1,877.00
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.
$68.87 with HORIZON vs $1,195.03 with CIGNA — 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 | $68.87 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $103.64 | ↓ -60% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $160.23 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $260.79 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $260.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $260.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $260.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $260.79 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $260.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $273.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $284.26 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $312.95 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $339.68 | ↑ +30% |
| QUALCARE | HMO | $364.56 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $432.92 | ↑ +66% |
| HORIZON | OMNIA | $468.78 | ↑ +80% |
| AETNA | PPO | $505.68 | ↑ +94% |
| AETNA | HMO | $505.68 | ↑ +94% |
| HORIZON | WORKERS COMP | $517.44 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $535.27 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $535.27 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $551.25 | ↑ +111% |
| HORIZON | SHP | $565.58 | ↑ +117% |
| QUALCARE | PPO | $571.10 | ↑ +119% |
| AETNA | ASA | $575.51 | ↑ +121% |
| HORIZON | HMO | $579.84 | ↑ +122% |
| HORIZON | PIP | $579.92 | ↑ +122% |
| CIGNA | BH | $588.00 | ↑ +125% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $588.00 | ↑ +125% |
| HORIZON | INDEMNITY | $588.22 | ↑ +126% |
| HORIZON | PPO | $593.37 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $624.75 | ↑ +140% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $624.75 | ↑ +140% |
| AMERIHEALTH | LOCAL HMO | $635.63 | ↑ +144% |
| QUALCARE | WORKERS COMP | $646.80 | ↑ +148% |
| AMERIHEALTH | REGIONAL HMO | $719.93 | ↑ +176% |
| CIGNA | HMO | $1,195.03 | ↑ +358% |
| CIGNA | PPO | $1,195.03 | ↑ +358% |
Visitor-reported prices
Comments
Chimerism anal w/cell select at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $260.79 | $260.79 – $1,195.03 |
| Hackensack University Medical Center | Hackensack | $260.79 | $89.04 – $1,171.07 |
| Ocean University Medical Center | Brick | $260.79 | $229.49 – $1,195.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $260.79 | $229.49 – $1,227.34 |
| Jersey Shore University Medical Center | Neptune City | $260.79 | $208.63 – $1,195.03 |
| Palisades Medical Center | North Bergen | $260.79 | $98.22 – $1,195.03 |
| Raritan Bay Medical Center | Perth Amboy | $260.79 | $260.79 – $1,195.03 |
| Southern Ocean Medical Center | Manahawkin | $260.79 | $260.79 – $1,195.03 |