Exome sequence analysis at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$4,780.00
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.
$13,750.00
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.
$553.64 with HORIZON vs $21,903.63 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $553.64 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $741.38 | ↓ -84% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,146.24 | ↓ -76% |
| QUALCARE | HMO | $2,607.97 | ↓ -45% |
| HORIZON | OMNIA | $3,353.55 | ↓ -30% |
| AETNA | HMO | $3,617.50 | ↓ -24% |
| AETNA | PPO | $3,617.50 | ↓ -24% |
| HORIZON | WORKERS COMP | $3,701.63 | ↓ -23% |
| BERGEN RISK | ALL PRODUCTS | $3,943.50 | ↓ -18% |
| HORIZON | SHP | $4,046.03 | ↓ -15% |
| QUALCARE | PPO | $4,085.47 | ↓ -15% |
| AETNA | ASA | $4,117.01 | ↓ -14% |
| HORIZON | HMO | $4,148.04 | ↓ -13% |
| HORIZON | PIP | $4,148.56 | ↓ -13% |
| CIGNA | BH | $4,206.40 | ↓ -12% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,206.40 | ↓ -12% |
| HORIZON | INDEMNITY | $4,207.98 | ↓ -12% |
| HORIZON | PPO | $4,244.78 | ↓ -11% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,469.30 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,469.30 | ↓ -7% |
| AMERIHEALTH | LOCAL HMO | $4,547.12 | ↓ -5% |
| QUALCARE | WORKERS COMP | $4,627.04 | ↓ -3% |
| CLOVER | MEDICARE ADVANTAGE | $4,780.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,780.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $4,780.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,780.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,780.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,780.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,019.00 | ↑ +5% |
| AMERIHEALTH | REGIONAL HMO | $5,150.21 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $5,210.20 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5,736.00 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $6,225.95 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,509.38 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $9,810.95 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $9,810.95 | ↑ +105% |
| CIGNA | HMO | $21,903.63 | ↑ +358% |
| CIGNA | PPO | $21,903.63 | ↑ +358% |
Visitor-reported prices
Comments
Exome sequence analysis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,780.00 | $4,780.00 – $21,903.63 |
| Hackensack University Medical Center | Hackensack | $4,780.00 | $715.74 – $21,464.54 |
| Ocean University Medical Center | Brick | $4,780.00 | $4,206.40 – $21,903.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,780.00 | $4,206.40 – $22,495.83 |
| Jersey Shore University Medical Center | Neptune City | $4,780.00 | $3,824.00 – $21,903.63 |
| Palisades Medical Center | North Bergen | $4,780.00 | $789.55 – $21,903.63 |
| Raritan Bay Medical Center | Perth Amboy | $4,780.00 | $4,780.00 – $21,903.63 |
| Southern Ocean Medical Center | Manahawkin | $4,780.00 | $4,780.00 – $21,903.63 |