CT lower extremity w/contrast (both sides) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$197.04
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.
$3,300.00
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.
$175.00 with HORIZON vs $2,917.00 with QUALCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $175.00 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $313.83 | ↑ +59% |
| CIGNA | HMO | $349.68 | ↑ +77% |
| CIGNA | PPO | $349.68 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $434.32 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +120% |
| AETNA | MANAGED MEDICAID | $465.30 | ↑ +136% |
| AETNA | PPO | $470.88 | ↑ +139% |
| AETNA | HMO | $470.88 | ↑ +139% |
| AMERIHEALTH | LOCAL HMO | $550.98 | ↑ +180% |
| AMERIHEALTH | REGIONAL HMO | $560.51 | ↑ +184% |
| CLOVER | MEDICARE ADVANTAGE | $594.00 | ↑ +201% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +230% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $716.10 | ↑ +263% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| HORIZON | OMNIA | $2,104.74 | ↑ +968% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +996% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,277.00 | ↑ +1056% |
| HORIZON | WORKERS COMP | $2,323.20 | ↑ +1079% |
| BERGEN RISK | ALL PRODUCTS | $2,475.00 | ↑ +1156% |
| HORIZON | SHP | $2,539.35 | ↑ +1189% |
| AETNA | ASA | $2,583.90 | ↑ +1211% |
| HORIZON | HMO | $2,603.37 | ↑ +1221% |
| HORIZON | PIP | $2,603.70 | ↑ +1221% |
| CIGNA | BH | $2,640.00 | ↑ +1240% |
| HORIZON | INDEMNITY | $2,640.99 | ↑ +1240% |
| HORIZON | PPO | $2,664.09 | ↑ +1252% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,805.00 | ↑ +1324% |
| QUALCARE | PPO | $2,917.00 | ↑ +1380% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT lower extremity w/contrast (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,028.74 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $492.69 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $197.04 – $2,083.00 |
| Palisades Medical Center | North Bergen | $209.65 | $205.00 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $197.21 – $1,752.00 |
| Southern Ocean Medical Center | Manahawkin | $194.55 | $194.55 – $550.98 |