H pylori (c-13) breath at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$67.36
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.
$275.00
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.
$28.29 with HORIZON vs $308.67 with CIGNA — 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 | $28.29 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $38.78 | ↓ -42% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.95 | ↓ -11% |
| CLOVER | MEDICARE ADVANTAGE | $67.36 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $67.36 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $67.36 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $67.36 | ↑ +0% |
| VACCN | ALL PRODUCTS | $67.36 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $67.36 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $70.73 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $73.42 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $80.83 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $87.74 | ↑ +30% |
| QUALCARE | HMO | $136.40 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $138.26 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $138.26 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.85 | ↑ +119% |
| HORIZON | OMNIA | $175.40 | ↑ +160% |
| AETNA | PPO | $189.20 | ↑ +181% |
| AETNA | HMO | $189.20 | ↑ +181% |
| HORIZON | WORKERS COMP | $193.60 | ↑ +187% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↑ +206% |
| HORIZON | SHP | $211.61 | ↑ +214% |
| QUALCARE | PPO | $213.68 | ↑ +217% |
| AETNA | ASA | $215.33 | ↑ +220% |
| HORIZON | HMO | $216.95 | ↑ +222% |
| HORIZON | PIP | $216.98 | ↑ +222% |
| CIGNA | BH | $220.00 | ↑ +227% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $220.00 | ↑ +227% |
| HORIZON | INDEMNITY | $220.08 | ↑ +227% |
| HORIZON | PPO | $222.01 | ↑ +230% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↑ +247% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $233.75 | ↑ +247% |
| AMERIHEALTH | LOCAL HMO | $237.82 | ↑ +253% |
| QUALCARE | WORKERS COMP | $242.00 | ↑ +259% |
| AMERIHEALTH | REGIONAL HMO | $269.36 | ↑ +300% |
| CIGNA | HMO | $308.67 | ↑ +358% |
| CIGNA | PPO | $308.67 | ↑ +358% |
Visitor-reported prices
Comments
H pylori (c-13) breath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $67.36 | $67.36 – $308.67 |
| Hackensack University Medical Center | Hackensack | $67.36 | $36.57 – $302.48 |
| Ocean University Medical Center | Brick | $67.36 | $52.80 – $308.67 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $67.36 | $52.80 – $317.01 |
| Jersey Shore University Medical Center | Neptune City | $67.36 | $53.89 – $308.67 |
| Palisades Medical Center | North Bergen | $67.36 | $40.34 – $308.67 |
| Raritan Bay Medical Center | Perth Amboy | $67.36 | $67.36 – $308.67 |
| Southern Ocean Medical Center | Manahawkin | $67.36 | $67.36 – $308.67 |