Cmptr ophth img optic nerve at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$65.75
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.
$155.00
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.
$21.86 with AETNA vs $148.23 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $21.86 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $27.90 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $33.64 | ↓ -49% |
| AMERIHEALTH | LOCAL HMO | $51.65 | ↓ -21% |
| AMERIHEALTH | REGIONAL HMO | $52.55 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $61.13 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $91.30 | ↑ +39% |
| OXFORD | ALL PRODUCTS | $93.90 | ↑ +43% |
| HORIZON | OMNIA | $98.86 | ↑ +50% |
| HORIZON | WORKERS COMP | $109.12 | ↑ +66% |
| HORIZON | MANAGED MEDICAID | $110.05 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $116.25 | ↑ +77% |
| HORIZON | SHP | $119.27 | ↑ +81% |
| QUALCARE | PPO | $120.44 | ↑ +83% |
| QUALCARE | HMO | $120.44 | ↑ +83% |
| AETNA | ASA | $121.37 | ↑ +85% |
| HORIZON | HMO | $122.28 | ↑ +86% |
| HORIZON | PIP | $122.30 | ↑ +86% |
| CIGNA | BH | $124.00 | ↑ +89% |
| HORIZON | INDEMNITY | $124.05 | ↑ +89% |
| HORIZON | PPO | $125.13 | ↑ +90% |
| UNITED HEALTHCARE | HMO | $125.78 | ↑ +91% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $131.75 | ↑ +100% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $131.75 | ↑ +100% |
| QUALCARE | WORKERS COMP | $136.40 | ↑ +107% |
| AETNA | HMO | $139.50 | ↑ +112% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $139.50 | ↑ +112% |
| AETNA | PPO | $139.50 | ↑ +112% |
| CIGNA | HMO | $148.23 | ↑ +125% |
| CIGNA | PPO | $148.23 | ↑ +125% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cmptr ophth img optic nerve at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $51.65 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $28.78 – $4,994.00 |
| Ocean University Medical Center | Brick | $64.92 | $51.65 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $46.19 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $50.76 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $31.75 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $51.65 – $78.97 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $51.65 – $77.90 |