Creat artery-vein fistula autograft 36825 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$5,983.35
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.
?
What you pay up front if you don't use insurance.
$12,704.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,596.21 with KARNA vs $23,258.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,596.21 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $1,791.26 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $2,286.72 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,756.77 | ↓ -54% |
| CIGNA | HMO | $4,418.00 | ↓ -26% |
| CIGNA | PPO | $4,950.00 | ↓ -17% |
| WELLCARE | MANAGED MEDICAID | $5,983.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,983.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| QUALCARE | HMO | $6,256.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,282.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,521.85 | ↑ +9% |
| HORIZON | OMNIA | $6,990.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $7,180.02 | ↑ +20% |
| HORIZON | SHP | $7,997.00 | ↑ +34% |
| AETNA | PPO | $8,419.00 | ↑ +41% |
| AETNA | HMO | $8,419.00 | ↑ +41% |
| HORIZON | HMO | $8,624.00 | ↑ +44% |
| HORIZON | INDEMNITY | $8,743.00 | ↑ +46% |
| HORIZON | PPO | $8,826.00 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $9,528.00 | ↑ +59% |
| QUALCARE | PPO | $9,871.01 | ↑ +65% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +66% |
| AETNA | ASA | $9,947.23 | ↑ +66% |
| HORIZON | PIP | $10,023.46 | ↑ +68% |
| CIGNA | BH | $10,163.20 | ↑ +70% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,798.40 | ↑ +80% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,798.40 | ↑ +80% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +81% |
| AMERIHEALTH | LOCAL HMO | $10,986.42 | ↑ +84% |
| AMERIHEALTH | REGIONAL HMO | $12,443.57 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $18,636.00 | ↑ +211% |
| UNITED HEALTHCARE | HMO | $23,258.00 | ↑ +289% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Creat artery-vein fistula autograft 36825 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,983.35 | $5,983.35 – $7,180.02 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $1,631.81 – $6,684.38 |
| Ocean University Medical Center | Brick | $5,907.78 | $1,596.21 – $7,089.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,988.54 | $940.00 – $5,988.54 |
| Jersey Shore University Medical Center | Neptune City | $5,983.35 | $1,596.21 – $7,180.02 |
| Palisades Medical Center | North Bergen | $6,366.08 | $1,631.81 – $6,939.02 |
| Raritan Bay Medical Center | Perth Amboy | $5,988.54 | $1,631.81 – $7,186.25 |
| Southern Ocean Medical Center | Manahawkin | $5,907.78 | $1,596.21 – $7,089.34 |