Dx laryngoscopy newborn at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$429.80
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.
$1,040.00
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.
$0.01 with CIGNA vs $10,149.00 with HORIZON — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $146.64 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $187.20 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $225.68 | ↓ -47% |
| KARNA | MEDICARE ADVANTAGE | $322.29 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $429.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $429.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $429.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $429.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $451.30 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $468.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $515.77 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $612.56 | ↑ +43% |
| OXFORD | ALL PRODUCTS | $641.26 | ↑ +49% |
| HORIZON | MANAGED MEDICAID | $738.40 | ↑ +72% |
| BERGEN RISK | ALL PRODUCTS | $780.00 | ↑ +81% |
| QUALCARE | PPO | $808.08 | ↑ +88% |
| QUALCARE | HMO | $808.08 | ↑ +88% |
| AETNA | ASA | $814.32 | ↑ +89% |
| HORIZON | PIP | $820.56 | ↑ +91% |
| CIGNA | BH | $832.00 | ↑ +94% |
| UNITED HEALTHCARE | HMO | $843.96 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $884.00 | ↑ +106% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $884.00 | ↑ +106% |
| AMERIHEALTH | LOCAL HMO | $899.39 | ↑ +109% |
| QUALCARE | WORKERS COMP | $915.20 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $936.00 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $1,018.68 | ↑ +137% |
| HORIZON | OMNIA | $6,351.00 | ↑ +1378% |
| HORIZON | SHP | $7,337.00 | ↑ +1607% |
| HORIZON | HMO | $7,841.00 | ↑ +1724% |
| HORIZON | INDEMNITY | $7,948.00 | ↑ +1749% |
| HORIZON | PPO | $8,024.00 | ↑ +1767% |
| AETNA | PPO | $8,419.00 | ↑ +1859% |
| AETNA | HMO | $8,419.00 | ↑ +1859% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +2261% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dx laryngoscopy newborn at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $429.80 | $429.80 – $515.77 |
| Hackensack University Medical Center | Hackensack | $457.30 | $332.42 – $480.16 |
| Ocean University Medical Center | Brick | $424.38 | $322.29 – $509.25 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $430.18 | $134.40 – $430.18 |
| Jersey Shore University Medical Center | Neptune City | $429.80 | $322.29 – $515.77 |
| Palisades Medical Center | North Bergen | $457.30 | $132.38 – $498.45 |
| Raritan Bay Medical Center | Perth Amboy | $430.18 | $168.00 – $516.21 |
| Southern Ocean Medical Center | Manahawkin | $424.38 | $322.29 – $509.25 |