Exc trchntr pr ulc prep flap at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,024.70
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.
?
What you pay up front if you don't use insurance.
$4,989.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$703.45 with AETNA vs $10,715.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $703.45 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $898.02 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,082.61 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $1,534.00 | ↓ -24% |
| WELLCARE | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,024.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,024.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,125.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,429.64 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $2,466.63 | ↑ +22% |
| HORIZON | OMNIA | $3,181.98 | ↑ +57% |
| CIGNA | HMO | $3,591.00 | ↑ +77% |
| BERGEN RISK | ALL PRODUCTS | $3,741.75 | ↑ +85% |
| HORIZON | SHP | $3,839.04 | ↑ +90% |
| QUALCARE | PPO | $3,876.45 | ↑ +91% |
| AETNA | ASA | $3,906.39 | ↑ +93% |
| HORIZON | HMO | $3,935.82 | ↑ +94% |
| HORIZON | PIP | $3,936.32 | ↑ +94% |
| CIGNA | BH | $3,991.20 | ↑ +97% |
| HORIZON | INDEMNITY | $3,992.70 | ↑ +97% |
| CIGNA | PPO | $4,018.00 | ↑ +98% |
| HORIZON | PPO | $4,027.62 | ↑ +99% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,240.65 | ↑ +109% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,240.65 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $4,314.49 | ↑ +113% |
| QUALCARE | WORKERS COMP | $4,390.32 | ↑ +117% |
| AMERIHEALTH | REGIONAL HMO | $4,886.73 | ↑ +141% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +206% |
| QUALCARE | HMO | $6,256.00 | ↑ +209% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +280% |
| AETNA | PPO | $8,419.00 | ↑ +316% |
| AETNA | HMO | $8,419.00 | ↑ +316% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +391% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +429% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exc trchntr pr ulc prep flap at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,024.70 | $2,024.70 – $2,429.64 |
| Hackensack University Medical Center | Hackensack | $2,154.21 | $1,723.37 – $2,546.74 |
| Ocean University Medical Center | Brick | $1,999.13 | $1,829.23 – $2,466.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,026.46 | $941.78 – $2,546.74 |
| Jersey Shore University Medical Center | Neptune City | $2,024.70 | $2,024.70 – $2,466.63 |
| Palisades Medical Center | North Bergen | $2,154.21 | $2,154.21 – $2,546.74 |
| Raritan Bay Medical Center | Perth Amboy | $2,026.46 | $2,026.46 – $2,546.74 |
| Southern Ocean Medical Center | Manahawkin | $1,999.13 | $1,999.13 – $2,466.63 |