Cystoscopy and treatment at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$5,626.86
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.
$8,506.00
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.
$560.69 with KARNA vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $560.69 | ↓ -90% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $1,199.35 | ↓ -79% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,531.08 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,845.80 | ↓ -67% |
| CIGNA | HMO | $3,140.00 | ↓ -44% |
| CIGNA | PPO | $3,514.00 | ↓ -38% |
| HORIZON | OMNIA | $5,425.13 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,626.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,626.86 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,908.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,133.27 | ↑ +9% |
| QUALCARE | HMO | $6,256.00 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $6,379.50 | ↑ +13% |
| HORIZON | SHP | $6,545.37 | ↑ +16% |
| QUALCARE | PPO | $6,609.16 | ↑ +17% |
| AETNA | ASA | $6,660.20 | ↑ +18% |
| HORIZON | HMO | $6,710.38 | ↑ +19% |
| HORIZON | PIP | $6,711.23 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $6,752.23 | ↑ +20% |
| CIGNA | BH | $6,804.80 | ↑ +21% |
| HORIZON | INDEMNITY | $6,807.35 | ↑ +21% |
| HORIZON | PPO | $6,866.89 | ↑ +22% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,230.10 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,230.10 | ↑ +28% |
| AMERIHEALTH | LOCAL HMO | $7,355.99 | ↑ +31% |
| QUALCARE | WORKERS COMP | $7,485.28 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +47% |
| AMERIHEALTH | REGIONAL HMO | $8,331.63 | ↑ +48% |
| AETNA | HMO | $8,419.00 | ↑ +50% |
| AETNA | PPO | $8,419.00 | ↑ +50% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +83% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +90% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +184% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $5,986.78 | $576.25 – $6,286.11 |
| Ocean University Medical Center | Brick | $5,555.79 | $560.69 – $15,984.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $245.96 – $5,631.74 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $560.69 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $576.25 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $576.25 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $560.69 – $15,984.00 |