Consultation pathology during surgery frozen section first tissue block at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$189.67
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.
$281.00
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.
$39.62 with AETNA vs $306.15 with OXFORD — 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 | $39.62 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $44.71 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.98 | ↓ -68% |
| QUALCARE | HMO | $139.38 | ↓ -27% |
| HORIZON | OMNIA | $179.22 | ↓ -6% |
| KARNA | MEDICARE ADVANTAGE | $183.58 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| AETNA | HMO | $193.33 | ↑ +2% |
| AETNA | PPO | $193.33 | ↑ +2% |
| HORIZON | WORKERS COMP | $197.82 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $199.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $210.75 | ↑ +11% |
| HORIZON | SHP | $216.23 | ↑ +14% |
| QUALCARE | PPO | $218.34 | ↑ +15% |
| AETNA | ASA | $220.02 | ↑ +16% |
| HORIZON | HMO | $221.68 | ↑ +17% |
| HORIZON | PIP | $221.71 | ↑ +17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $224.80 | ↑ +19% |
| CIGNA | BH | $224.80 | ↑ +19% |
| HORIZON | INDEMNITY | $224.88 | ↑ +19% |
| HORIZON | PPO | $226.85 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $238.85 | ↑ +26% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $238.85 | ↑ +26% |
| AMERIHEALTH | LOCAL HMO | $243.01 | ↑ +28% |
| QUALCARE | WORKERS COMP | $247.28 | ↑ +30% |
| CIGNA | HMO | $268.72 | ↑ +42% |
| CIGNA | PPO | $268.72 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $275.24 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $44.71 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $71.36 – $344.49 |
| Ocean University Medical Center | Brick | $187.28 | $44.71 – $187.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $52.80 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $44.71 – $333.37 |
| Palisades Medical Center | North Bergen | $201.80 | $78.72 – $629.14 |
| Raritan Bay Medical Center | Perth Amboy | $189.84 | $44.71 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $44.71 – $204.13 |