Esoph scope w/submucous inj 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.
$3,320.00
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.
$211.99 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 | $211.99 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $468.12 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $597.60 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $720.44 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $1,018.00 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -43% |
| VACCN | ALL PRODUCTS | $2,099.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,099.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| HORIZON | OMNIA | $2,117.50 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,204.69 | ↑ +5% |
| CIGNA | HMO | $2,250.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,288.68 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $2,490.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,519.64 | ↑ +20% |
| CIGNA | PPO | $2,522.00 | ↑ +20% |
| HORIZON | SHP | $2,554.74 | ↑ +22% |
| QUALCARE | PPO | $2,579.64 | ↑ +23% |
| AETNA | ASA | $2,599.56 | ↑ +24% |
| HORIZON | HMO | $2,619.15 | ↑ +25% |
| HORIZON | PIP | $2,619.48 | ↑ +25% |
| CIGNA | BH | $2,656.00 | ↑ +26% |
| HORIZON | INDEMNITY | $2,657.00 | ↑ +27% |
| HORIZON | PPO | $2,680.24 | ↑ +28% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,822.00 | ↑ +34% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,822.00 | ↑ +34% |
| AMERIHEALTH | LOCAL HMO | $2,871.14 | ↑ +37% |
| QUALCARE | WORKERS COMP | $2,921.60 | ↑ +39% |
| AMERIHEALTH | REGIONAL HMO | $3,251.94 | ↑ +55% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +195% |
| QUALCARE | HMO | $6,256.00 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +266% |
| AETNA | HMO | $8,419.00 | ↑ +301% |
| AETNA | PPO | $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
Esoph scope w/submucous inj 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 | $218.62 – $2,345.71 |
| Ocean University Medical Center | Brick | $2,073.18 | $211.99 – $2,487.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,101.52 | $218.62 – $2,101.52 |
| Jersey Shore University Medical Center | Neptune City | $2,099.70 | $211.99 – $2,519.64 |
| Palisades Medical Center | North Bergen | $2,234.01 | $218.62 – $2,435.07 |
| Raritan Bay Medical Center | Perth Amboy | $2,101.52 | $218.62 – $2,521.83 |
| Southern Ocean Medical Center | Manahawkin | $2,073.18 | $211.99 – $2,487.82 |