Ghs change cysto/gastrost at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$269.20
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.
$990.00
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.
$75.73 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 | $75.73 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $139.59 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $178.20 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $214.83 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $269.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $269.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $282.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $293.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $323.04 | ↑ +20% |
| HORIZON | OMNIA | $631.42 | ↑ +135% |
| BERGEN RISK | ALL PRODUCTS | $742.50 | ↑ +176% |
| HORIZON | SHP | $761.81 | ↑ +183% |
| QUALCARE | PPO | $769.23 | ↑ +186% |
| AETNA | ASA | $775.17 | ↑ +188% |
| HORIZON | HMO | $781.01 | ↑ +190% |
| HORIZON | PIP | $781.11 | ↑ +190% |
| CIGNA | BH | $792.00 | ↑ +194% |
| HORIZON | INDEMNITY | $792.30 | ↑ +194% |
| HORIZON | PPO | $799.23 | ↑ +197% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $841.50 | ↑ +213% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $841.50 | ↑ +213% |
| AMERIHEALTH | LOCAL HMO | $856.15 | ↑ +218% |
| QUALCARE | WORKERS COMP | $871.20 | ↑ +224% |
| AMERIHEALTH | REGIONAL HMO | $969.71 | ↑ +260% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +342% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +603% |
| CIGNA | HMO | $2,250.00 | ↑ +736% |
| CIGNA | PPO | $2,522.00 | ↑ +837% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +949% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +1190% |
| QUALCARE | HMO | $6,256.00 | ↑ +2224% |
| AETNA | PPO | $8,419.00 | ↑ +3027% |
| AETNA | HMO | $8,419.00 | ↑ +3027% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3590% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +3880% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs change cysto/gastrost at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $77.40 – $300.74 |
| Ocean University Medical Center | Brick | $265.80 | $75.73 – $318.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $77.40 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $75.73 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $77.40 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $77.40 – $323.32 |
| Southern Ocean Medical Center | Manahawkin | $265.80 | $75.73 – $318.96 |