Ercp lithotripsy calculi at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$6,588.93
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.
$7,524.00
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.
$873.61 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 | $873.61 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $1,060.88 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $1,354.32 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,632.71 | ↓ -75% |
| CIGNA | HMO | $3,140.00 | ↓ -52% |
| CIGNA | PPO | $3,514.00 | ↓ -47% |
| HORIZON | OMNIA | $4,798.81 | ↓ -27% |
| BERGEN RISK | ALL PRODUCTS | $5,643.00 | ↓ -14% |
| HORIZON | SHP | $5,789.72 | ↓ -12% |
| QUALCARE | PPO | $5,846.15 | ↓ -11% |
| AETNA | ASA | $5,891.29 | ↓ -11% |
| HORIZON | HMO | $5,935.68 | ↓ -10% |
| HORIZON | PIP | $5,936.44 | ↓ -10% |
| CIGNA | BH | $6,019.20 | ↓ -9% |
| HORIZON | INDEMNITY | $6,021.46 | ↓ -9% |
| HORIZON | PPO | $6,074.13 | ↓ -8% |
| QUALCARE | HMO | $6,256.00 | ↓ -5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,395.40 | ↓ -3% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,395.40 | ↓ -3% |
| AMERIHEALTH | LOCAL HMO | $6,506.76 | ↓ -1% |
| VACCN | ALL PRODUCTS | $6,588.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,588.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,588.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,588.93 | ↑ +0% |
| QUALCARE | WORKERS COMP | $6,621.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,918.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7,181.93 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $7,369.76 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $7,906.71 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +25% |
| AETNA | PPO | $8,419.00 | ↑ +28% |
| AETNA | HMO | $8,419.00 | ↑ +28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +51% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +56% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +63% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lithotripsy calculi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,588.93 | $6,588.93 – $7,906.71 |
| Hackensack University Medical Center | Hackensack | $7,010.39 | $899.08 – $7,360.91 |
| Ocean University Medical Center | Brick | $6,505.71 | $873.61 – $7,806.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,594.64 | $471.22 – $6,594.64 |
| Jersey Shore University Medical Center | Neptune City | $6,588.93 | $873.61 – $7,906.71 |
| Palisades Medical Center | North Bergen | $7,010.39 | $464.15 – $7,641.32 |
| Raritan Bay Medical Center | Perth Amboy | $6,594.64 | $899.08 – $7,913.57 |
| Southern Ocean Medical Center | Manahawkin | $6,505.71 | $873.61 – $7,806.85 |