Fragmenting of kidney stone at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,817.53
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.
$12,375.00
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.
$1,179.88 with KARNA vs $25,006.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,179.88 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $1,744.88 | ↓ -54% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $2,227.50 | ↓ -42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,685.38 | ↓ -30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,817.53 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,817.53 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,008.40 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,161.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,581.03 | ↑ +20% |
| HORIZON | OMNIA | $6,990.00 | ↑ +83% |
| HORIZON | SHP | $7,997.00 | ↑ +109% |
| AETNA | PPO | $8,419.00 | ↑ +121% |
| AETNA | HMO | $8,419.00 | ↑ +121% |
| HORIZON | HMO | $8,624.00 | ↑ +126% |
| HORIZON | INDEMNITY | $8,743.00 | ↑ +129% |
| HORIZON | PPO | $8,826.00 | ↑ +131% |
| BERGEN RISK | ALL PRODUCTS | $9,281.25 | ↑ +143% |
| QUALCARE | PPO | $9,615.38 | ↑ +152% |
| QUALCARE | HMO | $9,615.38 | ↑ +152% |
| AETNA | ASA | $9,689.63 | ↑ +154% |
| HORIZON | PIP | $9,763.88 | ↑ +156% |
| CIGNA | BH | $9,900.00 | ↑ +159% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,518.75 | ↑ +176% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,518.75 | ↑ +176% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +181% |
| QUALCARE | WORKERS COMP | $10,890.00 | ↑ +185% |
| CIGNA | HMO | $11,123.89 | ↑ +191% |
| CIGNA | PPO | $11,123.89 | ↑ +191% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,137.50 | ↑ +192% |
| OXFORD | ALL PRODUCTS | $18,636.00 | ↑ +388% |
| AMERIHEALTH | LOCAL HMO | $22,124.00 | ↑ +480% |
| UNITED HEALTHCARE | HMO | $23,258.00 | ↑ +509% |
| AMERIHEALTH | REGIONAL HMO | $25,006.00 | ↑ +555% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $4,581.03 |
| Hackensack University Medical Center | Hackensack | $4,061.71 | $1,217.11 – $4,264.80 |
| Ocean University Medical Center | Brick | $3,769.31 | $1,179.88 – $4,523.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,820.84 | $1,217.11 – $3,820.84 |
| Jersey Shore University Medical Center | Neptune City | $3,817.53 | $1,179.88 – $4,581.03 |
| Palisades Medical Center | North Bergen | $4,061.71 | $1,217.11 – $4,427.27 |
| Raritan Bay Medical Center | Perth Amboy | $3,820.84 | $1,217.11 – $12,134.00 |
| Southern Ocean Medical Center | Manahawkin | $3,769.31 | $1,179.88 – $4,523.17 |