Cystouretero w/lithotripsy 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.
$8,994.00
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.
$789.85 with KARNA vs $19,690.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $789.85 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,268.15 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $1,618.92 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,888.74 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,951.70 | ↓ -65% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,960.69 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -58% |
| CIGNA | HMO | $4,418.00 | ↓ -21% |
| CIGNA | PPO | $4,950.00 | ↓ -12% |
| WELLCARE | MANAGED MEDICAID | $5,626.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,626.86 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| HORIZON | OMNIA | $5,736.37 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,908.20 | ↑ +5% |
| QUALCARE | HMO | $6,256.00 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $6,745.50 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $6,752.23 | ↑ +20% |
| HORIZON | SHP | $6,920.88 | ↑ +23% |
| QUALCARE | PPO | $6,988.34 | ↑ +24% |
| AETNA | ASA | $7,042.30 | ↑ +25% |
| HORIZON | HMO | $7,095.37 | ↑ +26% |
| HORIZON | PIP | $7,096.27 | ↑ +26% |
| CIGNA | BH | $7,195.20 | ↑ +28% |
| HORIZON | INDEMNITY | $7,197.90 | ↑ +28% |
| HORIZON | PPO | $7,260.86 | ↑ +29% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,644.90 | ↑ +36% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,644.90 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $7,778.01 | ↑ +38% |
| QUALCARE | WORKERS COMP | $7,914.72 | ↑ +41% |
| AETNA | HMO | $8,419.00 | ↑ +50% |
| AETNA | PPO | $8,419.00 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $8,809.62 | ↑ +57% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +90% |
| OXFORD | ALL PRODUCTS | $15,785.00 | ↑ +181% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $19,690.00 | ↑ +250% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy 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 | $811.57 – $6,286.11 |
| Ocean University Medical Center | Brick | $5,555.79 | $789.85 – $8,322.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $504.00 – $8,322.52 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $789.85 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $496.44 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $630.00 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $789.85 – $15,984.00 |