Ghs optokenetic at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$173.18
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.
$416.00
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.
$29.45 with KARNA vs $527.00 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 | $29.45 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $58.66 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $74.88 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $90.27 | ↓ -48% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $245.02 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $252.01 | ↑ +46% |
| HORIZON | OMNIA | $265.32 | ↑ +53% |
| HORIZON | WORKERS COMP | $292.86 | ↑ +69% |
| HORIZON | MANAGED MEDICAID | $295.36 | ↑ +71% |
| BERGEN RISK | ALL PRODUCTS | $312.00 | ↑ +80% |
| HORIZON | SHP | $320.11 | ↑ +85% |
| QUALCARE | PPO | $323.23 | ↑ +87% |
| QUALCARE | HMO | $323.23 | ↑ +87% |
| AETNA | ASA | $325.73 | ↑ +88% |
| HORIZON | HMO | $328.18 | ↑ +90% |
| HORIZON | PIP | $328.22 | ↑ +90% |
| UNITED HEALTHCARE | HMO | $329.00 | ↑ +90% |
| CIGNA | BH | $332.80 | ↑ +92% |
| HORIZON | INDEMNITY | $332.92 | ↑ +92% |
| HORIZON | PPO | $335.84 | ↑ +94% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $353.60 | ↑ +104% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $353.60 | ↑ +104% |
| QUALCARE | WORKERS COMP | $366.08 | ↑ +111% |
| AETNA | PPO | $374.40 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $374.40 | ↑ +116% |
| AETNA | HMO | $374.40 | ↑ +116% |
| CIGNA | PPO | $397.82 | ↑ +130% |
| CIGNA | HMO | $397.82 | ↑ +130% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +204% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs optokenetic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $30.55 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $29.45 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $28.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $29.45 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $27.58 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $30.55 – $208.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $29.45 – $465.00 |