Ghs pr without cont pulse ox at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$65.75
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.
$352.00
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.
$30.26 with KARNA vs $344.78 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 | $30.26 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $49.63 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $63.36 | ↓ -4% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $76.38 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $207.33 | ↑ +215% |
| OXFORD | ALL PRODUCTS | $217.04 | ↑ +230% |
| HORIZON | OMNIA | $224.51 | ↑ +241% |
| HORIZON | WORKERS COMP | $247.81 | ↑ +277% |
| HORIZON | MANAGED MEDICAID | $249.92 | ↑ +280% |
| HORIZON - JRI@RMC | PIP | $250.84 | ↑ +282% |
| HORIZON - JRI@RMC | WORKERS COMP | $250.84 | ↑ +282% |
| BERGEN RISK | ALL PRODUCTS | $264.00 | ↑ +302% |
| HORIZON | SHP | $270.86 | ↑ +312% |
| QUALCARE | PPO | $273.50 | ↑ +316% |
| QUALCARE | HMO | $273.50 | ↑ +316% |
| AETNA | ASA | $275.62 | ↑ +319% |
| HORIZON | HMO | $277.69 | ↑ +322% |
| HORIZON | PIP | $277.73 | ↑ +322% |
| CIGNA | BH | $281.60 | ↑ +328% |
| HORIZON | INDEMNITY | $281.71 | ↑ +328% |
| HORIZON | PPO | $284.17 | ↑ +332% |
| UNITED HEALTHCARE | HMO | $285.65 | ↑ +334% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $299.20 | ↑ +355% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $299.20 | ↑ +355% |
| AMERIHEALTH | LOCAL HMO | $304.41 | ↑ +363% |
| QUALCARE | WORKERS COMP | $309.76 | ↑ +371% |
| AETNA | HMO | $316.80 | ↑ +382% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $316.80 | ↑ +382% |
| AETNA | PPO | $316.80 | ↑ +382% |
| CIGNA | HMO | $336.62 | ↑ +412% |
| CIGNA | PPO | $336.62 | ↑ +412% |
| AMERIHEALTH | REGIONAL HMO | $344.78 | ↑ +424% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs pr without cont pulse ox at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $31.11 – $659.00 |
| Ocean University Medical Center | Brick | $64.92 | $30.26 – $448.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $31.11 – $527.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $30.26 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $31.11 – $384.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $31.11 – $96.21 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $30.26 – $77.90 |