Consultation pathology during surgery cytological exam initial site at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$904.19
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.
$1,067.00
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.
$42.26 with UNITED HEALTHCARE vs $1,346.75 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $42.26 | ↓ -95% |
| AETNA | MANAGED MEDICAID | $150.45 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $165.56 | ↓ -82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $231.54 | ↓ -74% |
| QUALCARE | HMO | $529.23 | ↓ -41% |
| HORIZON | OMNIA | $680.53 | ↓ -25% |
| AETNA | PPO | $734.10 | ↓ -19% |
| AETNA | HMO | $734.10 | ↓ -19% |
| HORIZON | WORKERS COMP | $751.17 | ↓ -17% |
| HORIZON | MANAGED MEDICAID | $757.57 | ↓ -16% |
| BERGEN RISK | ALL PRODUCTS | $800.25 | ↓ -11% |
| HORIZON | SHP | $821.06 | ↓ -9% |
| QUALCARE | PPO | $829.06 | ↓ -8% |
| AETNA | ASA | $835.46 | ↓ -8% |
| HORIZON | HMO | $841.76 | ↓ -7% |
| HORIZON | PIP | $841.86 | ↓ -7% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $853.60 | ↓ -6% |
| CIGNA | BH | $853.60 | ↓ -6% |
| HORIZON | INDEMNITY | $853.92 | ↓ -6% |
| HORIZON | PPO | $861.39 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $904.19 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $904.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $904.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $904.19 | ↑ +0% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $906.95 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $906.95 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $922.74 | ↑ +2% |
| QUALCARE | WORKERS COMP | $938.96 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $949.40 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $985.57 | ↑ +9% |
| CIGNA | PPO | $1,020.37 | ↑ +13% |
| CIGNA | HMO | $1,020.37 | ↑ +13% |
| AMERIHEALTH | REGIONAL HMO | $1,045.13 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $1,085.03 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,346.75 | ↑ +49% |
| UNITED HEALTHCARE | HMO | $1,346.75 | ↑ +49% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $904.19 | $42.26 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $55.97 – $1,515.40 |
| Ocean University Medical Center | Brick | $892.77 | $42.26 – $892.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $904.98 | $88.07 – $1,430.41 |
| Jersey Shore University Medical Center | Neptune City | $904.19 | $42.26 – $1,466.50 |
| Palisades Medical Center | North Bergen | $962.03 | $61.75 – $2,767.57 |
| Raritan Bay Medical Center | Perth Amboy | $904.98 | $42.26 – $1,346.75 |
| Southern Ocean Medical Center | Manahawkin | $892.77 | $42.26 – $973.12 |