Circumcise/surg/28 days or < 54160 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$738.80
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.
$5,294.00
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.
$254.46 with AETNA vs $10,149.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $254.46 | ↓ -66% |
| KARNA | MEDICARE ADVANTAGE | $299.76 | ↓ -59% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $738.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $738.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $775.74 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $805.29 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $886.55 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $952.92 | ↑ +29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,148.80 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,118.17 | ↑ +322% |
| CIGNA | HMO | $3,140.00 | ↑ +325% |
| OXFORD | ALL PRODUCTS | $3,264.28 | ↑ +342% |
| CIGNA | PPO | $3,514.00 | ↑ +376% |
| HORIZON | MANAGED MEDICAID | $3,758.74 | ↑ +409% |
| BERGEN RISK | ALL PRODUCTS | $3,970.50 | ↑ +437% |
| QUALCARE | PPO | $4,113.44 | ↑ +457% |
| QUALCARE | HMO | $4,113.44 | ↑ +457% |
| AETNA | ASA | $4,145.20 | ↑ +461% |
| HORIZON | PIP | $4,176.97 | ↑ +465% |
| CIGNA | BH | $4,235.20 | ↑ +473% |
| UNITED HEALTHCARE | HMO | $4,296.08 | ↑ +481% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,499.90 | ↑ +509% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,499.90 | ↑ +509% |
| AMERIHEALTH | LOCAL HMO | $4,578.25 | ↑ +520% |
| QUALCARE | WORKERS COMP | $4,658.72 | ↑ +531% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,764.60 | ↑ +545% |
| AMERIHEALTH | REGIONAL HMO | $5,185.47 | ↑ +602% |
| HORIZON | OMNIA | $6,351.00 | ↑ +760% |
| HORIZON | SHP | $7,337.00 | ↑ +893% |
| HORIZON | HMO | $7,841.00 | ↑ +961% |
| HORIZON | INDEMNITY | $7,948.00 | ↑ +976% |
| HORIZON | PPO | $8,024.00 | ↑ +986% |
| AETNA | PPO | $8,419.00 | ↑ +1040% |
| AETNA | HMO | $8,419.00 | ↑ +1040% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1274% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Circumcise/surg/28 days or < 54160 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $738.80 | $254.46 – $886.55 |
| Hackensack University Medical Center | Hackensack | $786.05 | $309.08 – $825.36 |
| Ocean University Medical Center | Brick | $729.46 | $254.46 – $875.36 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $140.00 – $739.44 |
| Jersey Shore University Medical Center | Neptune City | $738.80 | $254.46 – $886.55 |
| Palisades Medical Center | North Bergen | $786.05 | $137.90 – $856.80 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $175.00 – $887.32 |
| Southern Ocean Medical Center | Manahawkin | $729.46 | $254.46 – $875.36 |