Ghs histoplasma antigen at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$13.25
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.
?
What you pay up front if you don't use insurance.
$124.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.18 with HORIZON vs $121.46 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.18 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.25 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $14.44 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $15.90 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.26 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $17.48 | ↑ +32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +99% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.03 | ↑ +104% |
| UNITED HEALTHCARE | HMO | $27.20 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $27.20 | ↑ +105% |
| CIGNA | PPO | $60.72 | ↑ +358% |
| CIGNA | HMO | $60.72 | ↑ +358% |
| QUALCARE | HMO | $61.50 | ↑ +364% |
| HORIZON | OMNIA | $79.09 | ↑ +497% |
| AETNA | HMO | $85.31 | ↑ +544% |
| AETNA | PPO | $85.31 | ↑ +544% |
| HORIZON | WORKERS COMP | $87.30 | ↑ +559% |
| BERGEN RISK | ALL PRODUCTS | $93.00 | ↑ +602% |
| HORIZON | SHP | $95.42 | ↑ +620% |
| QUALCARE | PPO | $96.35 | ↑ +627% |
| AETNA | ASA | $97.09 | ↑ +633% |
| HORIZON | HMO | $97.82 | ↑ +638% |
| HORIZON | PIP | $97.84 | ↑ +638% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $99.20 | ↑ +649% |
| CIGNA | BH | $99.20 | ↑ +649% |
| HORIZON | INDEMNITY | $99.24 | ↑ +649% |
| HORIZON | PPO | $100.11 | ↑ +656% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $105.40 | ↑ +695% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $105.40 | ↑ +695% |
| AMERIHEALTH | LOCAL HMO | $107.24 | ↑ +709% |
| QUALCARE | WORKERS COMP | $109.12 | ↑ +724% |
| AMERIHEALTH | REGIONAL HMO | $121.46 | ↑ +817% |
Visitor-reported prices
Comments
Ghs histoplasma antigen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.25 | $13.25 – $60.72 |
| Hackensack University Medical Center | Hackensack | $13.25 | $9.28 – $59.50 |
| Ocean University Medical Center | Brick | $13.25 | $13.19 – $60.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.25 | $13.19 – $62.36 |
| Jersey Shore University Medical Center | Neptune City | $13.25 | $10.60 – $60.72 |
| Palisades Medical Center | North Bergen | $13.25 | $10.23 – $60.72 |
| Raritan Bay Medical Center | Perth Amboy | $13.25 | $13.25 – $60.72 |
| Southern Ocean Medical Center | Manahawkin | $13.25 | $13.25 – $60.72 |