Egd balloon dil esoph30 mm/> at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,099.70
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.
$5,317.00
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.
$464.52 with KARNA vs $10,715.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $464.52 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $749.70 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $957.06 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,153.79 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -10% |
| VACCN | ALL PRODUCTS | $2,099.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,099.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,204.69 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,288.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,519.64 | ↑ +20% |
| HORIZON | OMNIA | $3,391.18 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $3,987.75 | ↑ +90% |
| HORIZON | SHP | $4,091.43 | ↑ +95% |
| QUALCARE | PPO | $4,131.31 | ↑ +97% |
| AETNA | ASA | $4,163.21 | ↑ +98% |
| HORIZON | HMO | $4,194.58 | ↑ +100% |
| HORIZON | PIP | $4,195.11 | ↑ +100% |
| CIGNA | BH | $4,253.60 | ↑ +103% |
| HORIZON | INDEMNITY | $4,255.20 | ↑ +103% |
| HORIZON | PPO | $4,292.41 | ↑ +104% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,519.45 | ↑ +115% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,519.45 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $4,598.14 | ↑ +119% |
| QUALCARE | WORKERS COMP | $4,678.96 | ↑ +123% |
| CIGNA | HMO | $5,031.00 | ↑ +140% |
| AMERIHEALTH | REGIONAL HMO | $5,208.00 | ↑ +148% |
| CIGNA | PPO | $5,639.00 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +195% |
| QUALCARE | HMO | $6,256.00 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +266% |
| AETNA | PPO | $8,419.00 | ↑ +301% |
| AETNA | HMO | $8,419.00 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +373% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +410% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Egd balloon dil esoph30 mm/> at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,099.70 | $2,099.70 – $2,519.64 |
| Hackensack University Medical Center | Hackensack | $2,234.01 | $477.60 – $2,345.71 |
| Ocean University Medical Center | Brick | $2,073.18 | $464.52 – $2,487.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,101.52 | $204.60 – $2,101.52 |
| Jersey Shore University Medical Center | Neptune City | $2,099.70 | $464.52 – $2,519.64 |
| Palisades Medical Center | North Bergen | $2,234.01 | $201.53 – $2,435.07 |
| Raritan Bay Medical Center | Perth Amboy | $2,101.52 | $477.60 – $2,521.83 |
| Southern Ocean Medical Center | Manahawkin | $2,073.18 | $464.52 – $2,487.82 |