Gi trc img intral colon i&r at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,009.14
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.
$4,283.00
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.
$603.90 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $603.90 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $770.94 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $929.41 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,009.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,009.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,009.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,009.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,059.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,099.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,210.96 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,529.04 | ↑ +52% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +87% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,522.69 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $2,594.64 | ↑ +157% |
| HORIZON | OMNIA | $2,731.70 | ↑ +171% |
| BERGEN RISK | ALL PRODUCTS | $3,212.25 | ↑ +218% |
| HORIZON | SHP | $3,295.77 | ↑ +227% |
| QUALCARE | PPO | $3,327.89 | ↑ +230% |
| AETNA | ASA | $3,353.59 | ↑ +232% |
| HORIZON | HMO | $3,378.86 | ↑ +235% |
| HORIZON | PIP | $3,379.29 | ↑ +235% |
| CIGNA | BH | $3,426.40 | ↑ +240% |
| HORIZON | INDEMNITY | $3,427.68 | ↑ +240% |
| HORIZON | PPO | $3,457.67 | ↑ +243% |
| UNITED HEALTHCARE | HMO | $3,475.65 | ↑ +244% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,640.55 | ↑ +261% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,640.55 | ↑ +261% |
| AMERIHEALTH | LOCAL HMO | $3,703.94 | ↑ +267% |
| QUALCARE | WORKERS COMP | $3,769.04 | ↑ +273% |
| CIGNA | HMO | $4,095.83 | ↑ +306% |
| CIGNA | PPO | $4,095.83 | ↑ +306% |
| AMERIHEALTH | REGIONAL HMO | $4,195.20 | ↑ +316% |
| QUALCARE | HMO | $6,256.00 | ↑ +520% |
| AETNA | PPO | $8,419.00 | ↑ +734% |
| AETNA | HMO | $8,419.00 | ↑ +734% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +884% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +962% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gi trc img intral colon i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |
| Hackensack University Medical Center | Hackensack | $1,073.68 | $858.95 – $1,614.75 |
| Ocean University Medical Center | Brick | $996.39 | $911.71 – $1,529.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,010.01 | $911.71 – $1,614.75 |
| Jersey Shore University Medical Center | Neptune City | $1,009.14 | $1,009.14 – $1,529.04 |
| Palisades Medical Center | North Bergen | $1,073.68 | $1,073.68 – $1,614.75 |
| Raritan Bay Medical Center | Perth Amboy | $1,010.01 | $1,010.01 – $1,614.75 |
| Southern Ocean Medical Center | Manahawkin | $996.39 | $996.39 – $1,529.04 |