Fix g/colon tube w/device at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,037.75
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.
$1,847.00
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.
$101.99 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 | $101.99 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $260.43 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $332.46 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $400.80 | ↓ -61% |
| WELLCARE | MANAGED MEDICAID | $1,037.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,037.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,089.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,131.14 | ↑ +9% |
| HORIZON | OMNIA | $1,178.02 | ↑ +14% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,245.30 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $1,385.25 | ↑ +33% |
| HORIZON | SHP | $1,421.27 | ↑ +37% |
| QUALCARE | PPO | $1,435.12 | ↑ +38% |
| AETNA | ASA | $1,446.20 | ↑ +39% |
| HORIZON | HMO | $1,457.10 | ↑ +40% |
| HORIZON | PIP | $1,457.28 | ↑ +40% |
| CIGNA | BH | $1,477.60 | ↑ +42% |
| HORIZON | INDEMNITY | $1,478.15 | ↑ +42% |
| HORIZON | PPO | $1,491.08 | ↑ +44% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,569.95 | ↑ +51% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,569.95 | ↑ +51% |
| AMERIHEALTH | LOCAL HMO | $1,597.29 | ↑ +54% |
| QUALCARE | WORKERS COMP | $1,625.36 | ↑ +57% |
| AMERIHEALTH | REGIONAL HMO | $1,809.14 | ↑ +74% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +82% |
| CIGNA | HMO | $2,250.00 | ↑ +117% |
| CIGNA | PPO | $2,522.00 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +497% |
| QUALCARE | HMO | $6,256.00 | ↑ +503% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +641% |
| AETNA | PPO | $8,419.00 | ↑ +711% |
| AETNA | HMO | $8,419.00 | ↑ +711% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +857% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +933% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fix g/colon tube w/device at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,037.75 | $1,037.75 – $1,245.30 |
| Hackensack University Medical Center | Hackensack | $1,104.13 | $104.74 – $1,159.33 |
| Ocean University Medical Center | Brick | $1,024.64 | $101.99 – $1,229.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,038.65 | $104.74 – $1,038.65 |
| Jersey Shore University Medical Center | Neptune City | $1,037.75 | $101.99 – $1,245.30 |
| Palisades Medical Center | North Bergen | $1,104.13 | $104.74 – $1,203.50 |
| Raritan Bay Medical Center | Perth Amboy | $1,038.65 | $104.74 – $4,489.58 |
| Southern Ocean Medical Center | Manahawkin | $1,024.64 | $101.99 – $1,229.57 |