ER Visit (level 5, high severity) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$678.62
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.
$4,125.00
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.
$140.00 with AMERIGROUP vs $3,920.00 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $140.00 | ↓ -79% |
| KARNA | MEDICARE ADVANTAGE | $284.08 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $358.00 | ↓ -47% |
| HORIZON | MANAGED MEDICAID | $521.00 | ↓ -23% |
| AETNA | MANAGED MEDICAID | $581.63 | ↓ -14% |
| VACCN | ALL PRODUCTS | $678.62 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $678.62 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $678.62 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $678.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $712.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $739.69 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $742.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $814.34 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $895.13 | ↑ +32% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +109% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +136% |
| CIGNA | HMO | $1,836.00 | ↑ +171% |
| CIGNA | PPO | $2,007.00 | ↑ +196% |
| HORIZON | OMNIA | $2,102.00 | ↑ +210% |
| QUALCARE | PPO | $2,142.00 | ↑ +216% |
| QUALCARE | HMO | $2,142.00 | ↑ +216% |
| HORIZON | SHP | $2,436.00 | ↑ +259% |
| HORIZON | HMO | $2,594.00 | ↑ +282% |
| OXFORD | ALL PRODUCTS | $2,762.00 | ↑ +307% |
| UNITED HEALTHCARE | HMO | $2,789.00 | ↑ +311% |
| AETNA | PPO | $3,144.00 | ↑ +363% |
| AETNA | HMO | $3,144.00 | ↑ +363% |
| AETNA | ASA | $3,229.88 | ↑ +376% |
| HORIZON | PIP | $3,254.63 | ↑ +380% |
| CIGNA | BH | $3,300.00 | ↑ +386% |
| HORIZON | PPO | $3,318.00 | ↑ +389% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,506.25 | ↑ +417% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,506.25 | ↑ +417% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.00 | ↑ +421% |
| QUALCARE | WORKERS COMP | $3,630.00 | ↑ +435% |
| HORIZON | INDEMNITY | $3,650.00 | ↑ +438% |
| HORIZON | WORKERS COMP | $3,920.00 | ↑ +478% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $678.62 | $678.62 – $1,787.00 |
| Hackensack University Medical Center | Hackensack | $722.02 | $290.51 – $1,944.00 |
| Ocean University Medical Center | Brick | $670.04 | $140.00 – $1,789.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $679.20 | $290.51 – $3,800.00 |
| Jersey Shore University Medical Center | Neptune City | $678.62 | $284.08 – $1,897.00 |
| Palisades Medical Center | North Bergen | $722.02 | $290.51 – $1,522.00 |
| Raritan Bay Medical Center | Perth Amboy | $679.20 | $140.00 – $1,699.00 |
| Southern Ocean Medical Center | Manahawkin | $670.04 | $140.00 – $1,522.00 |