Gamunex-c/gammaked at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$48.03
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.
$174.53
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.
$4.47 with CLOVER vs $99.88 with OXFORD — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $4.47 | ↓ -91% |
| AMERIHEALTH | LOCAL HMO | $7.22 | ↓ -85% |
| AMERIHEALTH | REGIONAL HMO | $7.90 | ↓ -84% |
| WELLCARE | MANAGED MEDICAID | $11.17 | ↓ -77% |
| WELLCARE | MEDICARE ADVANTAGE | $11.17 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $12.16 | ↓ -75% |
| CIGNA | HMO | $12.29 | ↓ -74% |
| CIGNA | PPO | $12.29 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.41 | ↓ -74% |
| AMERIGROUP | MANAGED MEDICAID | $12.41 | ↓ -74% |
| QUALCARE | WORKERS COMP | $12.78 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.62 | ↓ -70% |
| BERGEN RISK | ALL PRODUCTS | $14.89 | ↓ -69% |
| AETNA | PPO | $15.14 | ↓ -68% |
| AETNA | HMO | $15.14 | ↓ -68% |
| HORIZON | OMNIA | $15.83 | ↓ -67% |
| HORIZON | WORKERS COMP | $17.47 | ↓ -64% |
| HORIZON | SHP | $19.10 | ↓ -60% |
| AETNA | ASA | $19.43 | ↓ -60% |
| HORIZON | PIP | $19.58 | ↓ -59% |
| HORIZON | HMO | $19.58 | ↓ -59% |
| CIGNA | BH | $19.86 | ↓ -59% |
| HORIZON | INDEMNITY | $19.86 | ↓ -59% |
| HORIZON | PPO | $20.04 | ↓ -58% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21.10 | ↓ -56% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.10 | ↓ -56% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22.34 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $40.83 | ↓ -15% |
| VACCN | ALL PRODUCTS | $48.03 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $48.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $50.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $52.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $57.64 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $64.85 | ↑ +35% |
| UNITED HEALTHCARE | HMO | $99.88 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $99.88 | ↑ +108% |
| QUALCARE | PPO | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $48.03 | $40.83 – $99.88 |
| Jersey Shore University Medical Center | Neptune City | $48.03 | $40.83 – $64.85 |
| Palisades Medical Center | North Bergen | $48.81 | $40.83 – $99.88 |
| Raritan Bay Medical Center | Perth Amboy | $48.03 | $40.83 – $99.88 |
| Southern Ocean Medical Center | Manahawkin | $48.03 | $40.83 – $99.88 |