External cannula declotting at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,719.44
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.
$2,101.00
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.
$222.98 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 | $222.98 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $296.24 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $378.18 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $455.92 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -31% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -22% |
| HORIZON | OMNIA | $1,340.02 | ↓ -22% |
| BERGEN RISK | ALL PRODUCTS | $1,575.75 | ↓ -8% |
| HORIZON | SHP | $1,616.72 | ↓ -6% |
| QUALCARE | PPO | $1,632.48 | ↓ -5% |
| AETNA | ASA | $1,645.08 | ↓ -4% |
| HORIZON | HMO | $1,657.48 | ↓ -4% |
| HORIZON | PIP | $1,657.69 | ↓ -4% |
| CIGNA | BH | $1,680.80 | ↓ -2% |
| HORIZON | INDEMNITY | $1,681.43 | ↓ -2% |
| HORIZON | PPO | $1,696.14 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,785.85 | ↑ +4% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,785.85 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $1,816.94 | ↑ +6% |
| QUALCARE | WORKERS COMP | $1,848.88 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $1,874.19 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $2,057.93 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| CIGNA | HMO | $3,140.00 | ↑ +83% |
| CIGNA | PPO | $3,514.00 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +196% |
| QUALCARE | HMO | $6,256.00 | ↑ +264% |
| AETNA | HMO | $8,419.00 | ↑ +390% |
| AETNA | PPO | $8,419.00 | ↑ +390% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +478% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +523% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
External cannula declotting at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $227.77 – $1,920.90 |
| Ocean University Medical Center | Brick | $1,697.72 | $222.98 – $2,037.27 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,720.93 | $227.77 – $1,720.93 |
| Jersey Shore University Medical Center | Neptune City | $1,719.44 | $222.98 – $2,063.33 |
| Palisades Medical Center | North Bergen | $1,829.42 | $227.77 – $1,994.07 |
| Raritan Bay Medical Center | Perth Amboy | $1,720.93 | $227.77 – $2,065.12 |
| Southern Ocean Medical Center | Manahawkin | $1,697.72 | $222.98 – $2,037.27 |