Grp adapt bhv tx by tech at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$32.97
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.
$73.00
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.
$10.29 with AETNA vs $577.00 with UNITED HEALTHCARE — 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 | $10.29 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $13.14 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $14.96 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $15.84 | ↓ -52% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.94 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $39.57 | ↑ +20% |
| QUALCARE | HMO | $40.30 | ↑ +22% |
| QUALCARE | PPO | $40.30 | ↑ +22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $43.00 | ↑ +30% |
| HORIZON | OMNIA | $46.56 | ↑ +41% |
| HORIZON | WORKERS COMP | $51.39 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $51.83 | ↑ +57% |
| AETNA | PPO | $53.09 | ↑ +61% |
| AETNA | HMO | $53.09 | ↑ +61% |
| BERGEN RISK | ALL PRODUCTS | $54.75 | ↑ +66% |
| HORIZON | SHP | $56.17 | ↑ +70% |
| AETNA | ASA | $57.16 | ↑ +73% |
| HORIZON | HMO | $57.59 | ↑ +75% |
| HORIZON | PIP | $57.60 | ↑ +75% |
| CIGNA | BH | $58.40 | ↑ +77% |
| HORIZON | INDEMNITY | $58.42 | ↑ +77% |
| HORIZON | PPO | $58.93 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $62.05 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $62.05 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $63.13 | ↑ +91% |
| QUALCARE | WORKERS COMP | $64.24 | ↑ +95% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $65.70 | ↑ +99% |
| CIGNA | PPO | $69.81 | ↑ +112% |
| CIGNA | HMO | $69.81 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $71.50 | ↑ +117% |
| OXFORD | ALL PRODUCTS | $399.00 | ↑ +1110% |
| UNITED HEALTHCARE | HMO | $577.00 | ↑ +1650% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Grp adapt bhv tx by tech at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $87.50 | $13.13 – $13.13 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $393.00 |
| Hackensack University Medical Center | Hackensack | $35.08 | $15.28 – $1,673.00 |
| Ocean University Medical Center | Brick | $32.56 | $14.96 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $4.80 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $4.80 – $426.00 |
| Palisades Medical Center | North Bergen | $35.08 | $15.28 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $15.28 – $389.00 |