Clofarabine 1 mg/ml intravenous solution at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$14.72
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.
$594.29
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.
$12.51 with HORIZON vs $534.86 with BRIGHTON HEALTH PLAN — 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 | $12.51 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $14.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.04 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $17.66 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $27.85 | ↑ +89% |
| CLOVER | MEDICARE ADVANTAGE | $106.97 | ↑ +627% |
| UNITED HEALTHCARE | HMO | $132.39 | ↑ +799% |
| OXFORD | ALL PRODUCTS | $132.39 | ↑ +799% |
| AMERIHEALTH | LOCAL HMO | $172.88 | ↑ +1074% |
| AMERIHEALTH | REGIONAL HMO | $189.10 | ↑ +1185% |
| WELLCARE | MEDICARE ADVANTAGE | $267.43 | ↑ +1717% |
| WELLCARE | MANAGED MEDICAID | $267.43 | ↑ +1717% |
| QUALCARE | HMO | $278.13 | ↑ +1789% |
| AETNA | MANAGED MEDICAID | $291.20 | ↑ +1878% |
| CIGNA | PPO | $294.17 | ↑ +1898% |
| CIGNA | HMO | $294.17 | ↑ +1898% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $297.15 | ↑ +1919% |
| AMERIGROUP | MANAGED MEDICAID | $297.15 | ↑ +1919% |
| QUALCARE | WORKERS COMP | $306.06 | ↑ +1979% |
| QUALCARE | PPO | $306.06 | ↑ +1979% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $350.04 | ↑ +2278% |
| BERGEN RISK | ALL PRODUCTS | $356.57 | ↑ +2322% |
| AETNA | HMO | $362.52 | ↑ +2363% |
| AETNA | PPO | $362.52 | ↑ +2363% |
| HORIZON | OMNIA | $379.04 | ↑ +2475% |
| HORIZON | WORKERS COMP | $418.38 | ↑ +2742% |
| HORIZON | SHP | $457.31 | ↑ +3007% |
| AETNA | ASA | $465.33 | ↑ +3061% |
| HORIZON | HMO | $468.84 | ↑ +3085% |
| HORIZON | PIP | $468.89 | ↑ +3085% |
| CIGNA | BH | $475.43 | ↑ +3130% |
| HORIZON | INDEMNITY | $475.61 | ↑ +3131% |
| HORIZON | PPO | $479.77 | ↑ +3159% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $505.15 | ↑ +3332% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $505.15 | ↑ +3332% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $534.86 | ↑ +3534% |