Extrnl counterpulse, per tx at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$142.67
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.
$976.00
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.
$137.62 with AETNA vs $955.99 with AMERIHEALTH — 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 | $137.62 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $175.68 | ↑ +23% |
| KARNA | MEDICARE ADVANTAGE | $185.36 | ↑ +30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $211.79 | ↑ +48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $574.86 | ↑ +303% |
| OXFORD | ALL PRODUCTS | $591.26 | ↑ +314% |
| HORIZON | OMNIA | $622.49 | ↑ +336% |
| HORIZON | WORKERS COMP | $687.10 | ↑ +382% |
| HORIZON | MANAGED MEDICAID | $692.96 | ↑ +386% |
| BERGEN RISK | ALL PRODUCTS | $732.00 | ↑ +413% |
| HORIZON | SHP | $751.03 | ↑ +426% |
| QUALCARE | PPO | $758.35 | ↑ +432% |
| QUALCARE | HMO | $758.35 | ↑ +432% |
| AETNA | ASA | $764.21 | ↑ +436% |
| HORIZON | HMO | $769.97 | ↑ +440% |
| HORIZON | PIP | $770.06 | ↑ +440% |
| CIGNA | BH | $780.80 | ↑ +447% |
| HORIZON | INDEMNITY | $781.09 | ↑ +447% |
| HORIZON | PPO | $787.92 | ↑ +452% |
| UNITED HEALTHCARE | HMO | $792.02 | ↑ +455% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $829.60 | ↑ +481% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $829.60 | ↑ +481% |
| AMERIHEALTH | LOCAL HMO | $844.04 | ↑ +492% |
| QUALCARE | WORKERS COMP | $858.88 | ↑ +502% |
| AETNA | HMO | $878.40 | ↑ +516% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $878.40 | ↑ +516% |
| AETNA | PPO | $878.40 | ↑ +516% |
| CIGNA | HMO | $933.35 | ↑ +554% |
| CIGNA | PPO | $933.35 | ↑ +554% |
| AMERIHEALTH | REGIONAL HMO | $955.99 | ↑ +570% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Extrnl counterpulse, per tx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $104.00 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $142.67 – $185.36 |
| Palisades Medical Center | North Bergen | $151.80 | $58.00 – $196.21 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $142.80 – $196.21 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $140.87 – $185.36 |