Fetal hemoglobin rosette at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$9.36
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.
$112.00
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.
$4.32 with HORIZON vs $109.70 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $4.32 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9.36 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $9.36 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.20 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11.23 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $12.19 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.55 | ↑ +55% |
| AETNA | MANAGED MEDICAID | $15.79 | ↑ +69% |
| OXFORD | ALL PRODUCTS | $19.21 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $19.21 | ↑ +105% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $24.42 | ↑ +161% |
| CIGNA | HMO | $42.89 | ↑ +358% |
| CIGNA | PPO | $42.89 | ↑ +358% |
| QUALCARE | HMO | $55.55 | ↑ +493% |
| HORIZON | OMNIA | $71.43 | ↑ +663% |
| AETNA | HMO | $77.06 | ↑ +723% |
| AETNA | PPO | $77.06 | ↑ +723% |
| HORIZON | WORKERS COMP | $78.85 | ↑ +742% |
| BERGEN RISK | ALL PRODUCTS | $84.00 | ↑ +797% |
| HORIZON | SHP | $86.18 | ↑ +821% |
| QUALCARE | PPO | $87.02 | ↑ +830% |
| AETNA | ASA | $87.70 | ↑ +837% |
| HORIZON | HMO | $88.36 | ↑ +844% |
| HORIZON | PIP | $88.37 | ↑ +844% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $89.60 | ↑ +857% |
| CIGNA | BH | $89.60 | ↑ +857% |
| HORIZON | INDEMNITY | $89.63 | ↑ +858% |
| HORIZON | PPO | $90.42 | ↑ +866% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $95.20 | ↑ +917% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $95.20 | ↑ +917% |
| AMERIHEALTH | LOCAL HMO | $96.86 | ↑ +935% |
| QUALCARE | WORKERS COMP | $98.56 | ↑ +953% |
| AMERIHEALTH | REGIONAL HMO | $109.70 | ↑ +1072% |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $9.36 | $9.36 – $42.89 |
| Hackensack University Medical Center | Hackensack | $9.36 | $5.59 – $42.03 |
| Ocean University Medical Center | Brick | $9.36 | $9.36 – $42.89 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9.36 | $9.36 – $44.05 |
| Jersey Shore University Medical Center | Neptune City | $9.36 | $7.49 – $42.89 |
| Palisades Medical Center | North Bergen | $9.36 | $6.17 – $42.89 |
| Raritan Bay Medical Center | Perth Amboy | $9.36 | $9.36 – $42.89 |
| Southern Ocean Medical Center | Manahawkin | $9.36 | $9.36 – $42.89 |