Complx repair trunk 1.1-2.5 cm 13100 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$677.54
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.
$1,430.00
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.
$201.63 with AETNA vs $10,715.00 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 | $201.63 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $257.40 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $310.31 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $413.19 | ↓ -39% |
| WELLCARE | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $677.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $677.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $711.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $738.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $813.05 | ↑ +20% |
| HORIZON | OMNIA | $912.05 | ↑ +35% |
| BERGEN RISK | ALL PRODUCTS | $1,072.50 | ↑ +58% |
| HORIZON | SHP | $1,100.39 | ↑ +62% |
| QUALCARE | PPO | $1,111.11 | ↑ +64% |
| AETNA | ASA | $1,119.69 | ↑ +65% |
| HORIZON | HMO | $1,128.13 | ↑ +67% |
| HORIZON | PIP | $1,128.27 | ↑ +67% |
| CIGNA | BH | $1,144.00 | ↑ +69% |
| HORIZON | INDEMNITY | $1,144.43 | ↑ +69% |
| HORIZON | PPO | $1,154.44 | ↑ +70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +75% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,215.50 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,215.50 | ↑ +79% |
| AMERIHEALTH | LOCAL HMO | $1,236.66 | ↑ +83% |
| QUALCARE | WORKERS COMP | $1,258.40 | ↑ +86% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↑ +98% |
| AMERIHEALTH | REGIONAL HMO | $1,400.69 | ↑ +107% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +317% |
| CIGNA | HMO | $3,140.00 | ↑ +363% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +413% |
| CIGNA | PPO | $3,514.00 | ↑ +419% |
| QUALCARE | HMO | $6,256.00 | ↑ +823% |
| AETNA | PPO | $8,419.00 | ↑ +1143% |
| AETNA | HMO | $8,419.00 | ↑ +1143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1366% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +1481% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair trunk 1.1-2.5 cm 13100 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $427.60 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $413.19 – $802.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $678.13 | $142.80 – $678.13 |
| Jersey Shore University Medical Center | Neptune City | $677.54 | $413.19 – $813.05 |
| Palisades Medical Center | North Bergen | $720.88 | $427.60 – $785.76 |
| Raritan Bay Medical Center | Perth Amboy | $678.13 | $427.60 – $813.76 |
| Southern Ocean Medical Center | Manahawkin | $668.98 | $413.19 – $802.78 |