Dch validity tests at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3.48
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.
$45.00
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.
$1.15 with HORIZON vs $44.08 with AMERIHEALTH — 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 | $1.15 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3.48 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3.48 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3.48 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $3.48 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.65 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3.79 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4.18 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $4.53 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5.61 | ↑ +61% |
| AETNA | MANAGED MEDICAID | $6.35 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $7.14 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $7.14 | ↑ +105% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9.81 | ↑ +182% |
| CIGNA | HMO | $15.95 | ↑ +358% |
| CIGNA | PPO | $15.95 | ↑ +358% |
| QUALCARE | HMO | $22.32 | ↑ +541% |
| HORIZON | OMNIA | $28.70 | ↑ +725% |
| AETNA | HMO | $30.96 | ↑ +790% |
| AETNA | PPO | $30.96 | ↑ +790% |
| HORIZON | WORKERS COMP | $31.68 | ↑ +810% |
| BERGEN RISK | ALL PRODUCTS | $33.75 | ↑ +870% |
| HORIZON | SHP | $34.63 | ↑ +895% |
| QUALCARE | PPO | $34.97 | ↑ +905% |
| AETNA | ASA | $35.24 | ↑ +913% |
| HORIZON | HMO | $35.50 | ↑ +920% |
| HORIZON | PIP | $35.51 | ↑ +920% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.00 | ↑ +934% |
| CIGNA | BH | $36.00 | ↑ +934% |
| HORIZON | INDEMNITY | $36.01 | ↑ +935% |
| HORIZON | PPO | $36.33 | ↑ +944% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $38.25 | ↑ +999% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $38.25 | ↑ +999% |
| AMERIHEALTH | LOCAL HMO | $38.92 | ↑ +1018% |
| QUALCARE | WORKERS COMP | $39.60 | ↑ +1038% |
| AMERIHEALTH | REGIONAL HMO | $44.08 | ↑ +1167% |
Visitor-reported prices
Comments
Dch validity tests at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3.48 | $3.48 – $15.95 |
| Hackensack University Medical Center | Hackensack | $3.48 | $1.49 – $15.63 |
| Ocean University Medical Center | Brick | $3.48 | $1.10 – $15.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3.48 | $1.10 – $16.38 |
| Jersey Shore University Medical Center | Neptune City | $3.48 | $2.78 – $15.95 |
| Palisades Medical Center | North Bergen | $3.48 | $1.64 – $15.95 |
| Raritan Bay Medical Center | Perth Amboy | $3.48 | $3.48 – $15.95 |
| Southern Ocean Medical Center | Manahawkin | $3.48 | $3.48 – $15.95 |