External chromosome analysis 20-25 cells at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$144.61
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.
$1,265.00
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.
$22.56 with AETNA vs $662.65 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $22.56 | ↓ -84% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $34.88 | ↓ -76% |
| QUALCARE | HMO | $79.36 | ↓ -45% |
| HORIZON | MANAGED MEDICAID | $81.21 | ↓ -44% |
| HORIZON | OMNIA | $102.05 | ↓ -29% |
| AETNA | HMO | $110.08 | ↓ -24% |
| AETNA | PPO | $110.08 | ↓ -24% |
| HORIZON | WORKERS COMP | $112.64 | ↓ -22% |
| BERGEN RISK | ALL PRODUCTS | $120.00 | ↓ -17% |
| HORIZON | SHP | $123.12 | ↓ -15% |
| QUALCARE | PPO | $124.32 | ↓ -14% |
| AETNA | ASA | $125.28 | ↓ -13% |
| HORIZON | HMO | $126.22 | ↓ -13% |
| HORIZON | PIP | $126.24 | ↓ -13% |
| CIGNA | BH | $128.00 | ↓ -11% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $128.00 | ↓ -11% |
| HORIZON | INDEMNITY | $128.05 | ↓ -11% |
| HORIZON | PPO | $129.17 | ↓ -11% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $136.00 | ↓ -6% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $136.00 | ↓ -6% |
| AMERIHEALTH | LOCAL HMO | $138.37 | ↓ -4% |
| QUALCARE | WORKERS COMP | $140.80 | ↓ -3% |
| CLOVER | MEDICARE ADVANTAGE | $144.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $144.61 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $144.61 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $144.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $144.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $144.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $151.84 | ↑ +5% |
| AMERIHEALTH | REGIONAL HMO | $156.72 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $157.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $173.53 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $188.35 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $273.57 | ↑ +89% |
| UNITED HEALTHCARE | HMO | $296.81 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $296.81 | ↑ +105% |
| CIGNA | HMO | $662.65 | ↑ +358% |
| CIGNA | PPO | $662.65 | ↑ +358% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $144.61 | $144.61 – $662.65 |
| Hackensack University Medical Center | Hackensack | $144.61 | $104.99 – $649.37 |
| Ocean University Medical Center | Brick | $144.61 | $144.61 – $662.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $144.61 | $144.61 – $680.57 |
| Jersey Shore University Medical Center | Neptune City | $144.61 | $115.69 – $662.65 |
| Palisades Medical Center | North Bergen | $144.61 | $115.82 – $662.65 |
| Raritan Bay Medical Center | Perth Amboy | $144.61 | $144.61 – $662.65 |
| Southern Ocean Medical Center | Manahawkin | $144.61 | $144.61 – $662.65 |