Dch pulmonary stress test at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$344.68
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.
$2,420.00
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.
$261.13 with KARNA vs $2,370.39 with AMERIHEALTH — 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 | $261.13 | ↓ -24% |
| AETNA | MANAGED MEDICAID | $341.22 | ↓ -1% |
| VACCN | ALL PRODUCTS | $344.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $344.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $361.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $375.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $413.61 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $435.60 | ↑ +26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $525.14 | ↑ +52% |
| UNITED HEALTHCARE | HMO | $1,387.00 | ↑ +302% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,425.38 | ↑ +314% |
| HORIZON | OMNIA | $1,543.48 | ↑ +348% |
| OXFORD | ALL PRODUCTS | $1,550.00 | ↑ +350% |
| HORIZON | WORKERS COMP | $1,703.68 | ↑ +394% |
| HORIZON | MANAGED MEDICAID | $1,718.20 | ↑ +398% |
| BERGEN RISK | ALL PRODUCTS | $1,815.00 | ↑ +427% |
| HORIZON | SHP | $1,862.19 | ↑ +440% |
| QUALCARE | PPO | $1,880.34 | ↑ +446% |
| QUALCARE | HMO | $1,880.34 | ↑ +446% |
| AETNA | ASA | $1,894.86 | ↑ +450% |
| HORIZON | HMO | $1,909.14 | ↑ +454% |
| HORIZON | PIP | $1,909.38 | ↑ +454% |
| CIGNA | BH | $1,936.00 | ↑ +462% |
| HORIZON | INDEMNITY | $1,936.73 | ↑ +462% |
| HORIZON | PPO | $1,953.67 | ↑ +467% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,057.00 | ↑ +497% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,057.00 | ↑ +497% |
| AMERIHEALTH | LOCAL HMO | $2,092.82 | ↑ +507% |
| QUALCARE | WORKERS COMP | $2,129.60 | ↑ +518% |
| AETNA | HMO | $2,178.00 | ↑ +532% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,178.00 | ↑ +532% |
| AETNA | PPO | $2,178.00 | ↑ +532% |
| CIGNA | HMO | $2,314.25 | ↑ +571% |
| CIGNA | PPO | $2,314.25 | ↑ +571% |
| AMERIHEALTH | REGIONAL HMO | $2,370.39 | ↑ +588% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dch pulmonary stress test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $910.00 |
| Hackensack University Medical Center | Hackensack | $366.72 | $273.18 – $5,456.00 |
| Ocean University Medical Center | Brick | $340.32 | $261.13 – $408.39 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $273.18 – $610.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $261.13 – $676.00 |
| Palisades Medical Center | North Bergen | $366.72 | $273.18 – $1,815.00 |
| Raritan Bay Medical Center | Perth Amboy | $344.98 | $273.18 – $1,495.00 |
| Southern Ocean Medical Center | Manahawkin | $340.32 | $261.13 – $408.39 |