Dup scan/lwr xtr vasc stdy bilat 93924 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$173.18
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.
$1,540.00
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.
$173.18 with WELLCARE vs $1,508.43 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $217.14 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $273.39 | ↑ +58% |
| CLOVER | MEDICARE ADVANTAGE | $277.20 | ↑ +60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $334.18 | ↑ +93% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $907.06 | ↑ +424% |
| OXFORD | ALL PRODUCTS | $932.93 | ↑ +439% |
| HORIZON | OMNIA | $982.21 | ↑ +467% |
| HORIZON | WORKERS COMP | $1,084.16 | ↑ +526% |
| HORIZON | MANAGED MEDICAID | $1,093.40 | ↑ +531% |
| BERGEN RISK | ALL PRODUCTS | $1,155.00 | ↑ +567% |
| HORIZON | SHP | $1,185.03 | ↑ +584% |
| QUALCARE | PPO | $1,196.58 | ↑ +591% |
| QUALCARE | HMO | $1,196.58 | ↑ +591% |
| AETNA | ASA | $1,205.82 | ↑ +596% |
| HORIZON | HMO | $1,214.91 | ↑ +602% |
| HORIZON | PIP | $1,215.06 | ↑ +602% |
| CIGNA | BH | $1,232.00 | ↑ +611% |
| HORIZON | INDEMNITY | $1,232.46 | ↑ +612% |
| HORIZON | PPO | $1,243.24 | ↑ +618% |
| UNITED HEALTHCARE | HMO | $1,249.71 | ↑ +622% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,309.00 | ↑ +656% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,309.00 | ↑ +656% |
| AMERIHEALTH | LOCAL HMO | $1,331.79 | ↑ +669% |
| QUALCARE | WORKERS COMP | $1,355.20 | ↑ +683% |
| AETNA | HMO | $1,386.00 | ↑ +700% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,386.00 | ↑ +700% |
| AETNA | PPO | $1,386.00 | ↑ +700% |
| CIGNA | HMO | $1,472.70 | ↑ +750% |
| CIGNA | PPO | $1,472.70 | ↑ +750% |
| AMERIHEALTH | REGIONAL HMO | $1,508.43 | ↑ +771% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $4,324.00 |
| Ocean University Medical Center | Brick | $170.99 | $104.00 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $104.00 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $1,271.00 |
| Palisades Medical Center | North Bergen | $184.26 | $184.26 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $1,190.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $1,114.00 |