Ghs alpha thalasemia, 7 deletions at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$102.26
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.
$2,200.00
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.
$76.90 with HORIZON vs $753.24 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 | $76.90 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $102.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $102.26 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $102.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $102.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $102.26 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $102.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $107.37 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $108.43 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $111.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $122.71 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $133.19 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.65 | ↑ +57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $167.64 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $209.89 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $209.89 | ↑ +105% |
| QUALCARE | HMO | $381.42 | ↑ +273% |
| CIGNA | HMO | $468.59 | ↑ +358% |
| CIGNA | PPO | $468.59 | ↑ +358% |
| HORIZON | OMNIA | $490.47 | ↑ +380% |
| AETNA | HMO | $529.07 | ↑ +417% |
| AETNA | PPO | $529.07 | ↑ +417% |
| HORIZON | WORKERS COMP | $541.38 | ↑ +429% |
| BERGEN RISK | ALL PRODUCTS | $576.75 | ↑ +464% |
| HORIZON | SHP | $591.75 | ↑ +479% |
| QUALCARE | PPO | $597.51 | ↑ +484% |
| AETNA | ASA | $602.13 | ↑ +489% |
| HORIZON | HMO | $606.66 | ↑ +493% |
| HORIZON | PIP | $606.74 | ↑ +493% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $615.20 | ↑ +502% |
| CIGNA | BH | $615.20 | ↑ +502% |
| HORIZON | INDEMNITY | $615.43 | ↑ +502% |
| HORIZON | PPO | $620.81 | ↑ +507% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $653.65 | ↑ +539% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $653.65 | ↑ +539% |
| AMERIHEALTH | LOCAL HMO | $665.03 | ↑ +550% |
| QUALCARE | WORKERS COMP | $676.72 | ↑ +562% |
| AMERIHEALTH | REGIONAL HMO | $753.24 | ↑ +637% |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $102.26 | $102.26 – $468.59 |
| Hackensack University Medical Center | Hackensack | $102.26 | $81.81 – $459.20 |
| Ocean University Medical Center | Brick | $102.26 | $89.99 – $468.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.26 | $89.99 – $481.26 |
| Jersey Shore University Medical Center | Neptune City | $102.26 | $81.81 – $468.59 |
| Palisades Medical Center | North Bergen | $102.26 | $102.26 – $468.59 |
| Raritan Bay Medical Center | Perth Amboy | $102.26 | $102.26 – $468.59 |
| Southern Ocean Medical Center | Manahawkin | $102.26 | $102.26 – $468.59 |