Hc fl sm bowel enteroclss tube w kub double contrast at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$197.04
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.
$2,974.00
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.
$63.00 with HORIZON vs $2,617.12 with QUALCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $63.00 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $98.19 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $153.16 | ↓ -22% |
| AMERIHEALTH | REGIONAL HMO | $155.81 | ↓ -21% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| AETNA | HMO | $314.19 | ↑ +59% |
| AETNA | PPO | $314.19 | ↑ +59% |
| AETNA | MANAGED MEDICAID | $419.33 | ↑ +113% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $483.42 | ↑ +145% |
| CLOVER | MEDICARE ADVANTAGE | $535.32 | ↑ +172% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $645.36 | ↑ +228% |
| KARNA | MEDICARE ADVANTAGE | $669.80 | ↑ +240% |
| CIGNA | HMO | $1,269.24 | ↑ +544% |
| CIGNA | PPO | $1,269.24 | ↑ +544% |
| QUALCARE | HMO | $1,475.10 | ↑ +649% |
| HORIZON | OMNIA | $1,896.82 | ↑ +863% |
| HORIZON | WORKERS COMP | $2,093.70 | ↑ +963% |
| BERGEN RISK | ALL PRODUCTS | $2,230.50 | ↑ +1032% |
| HORIZON | SHP | $2,288.49 | ↑ +1061% |
| QUALCARE | PPO | $2,310.80 | ↑ +1073% |
| AETNA | ASA | $2,328.64 | ↑ +1082% |
| HORIZON | HMO | $2,346.19 | ↑ +1091% |
| HORIZON | PIP | $2,346.49 | ↑ +1091% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,379.20 | ↑ +1107% |
| CIGNA | BH | $2,379.20 | ↑ +1107% |
| HORIZON | INDEMNITY | $2,380.09 | ↑ +1108% |
| HORIZON | PPO | $2,400.91 | ↑ +1118% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,527.90 | ↑ +1183% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,527.90 | ↑ +1183% |
| QUALCARE | WORKERS COMP | $2,617.12 | ↑ +1228% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc fl sm bowel enteroclss tube w kub double contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $98.19 – $1,269.24 |
| Hackensack University Medical Center | Hackensack | $209.65 | $66.90 – $1,243.79 |
| Ocean University Medical Center | Brick | $194.55 | $98.19 – $1,269.24 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $136.96 – $1,303.56 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $98.19 – $1,269.24 |
| Palisades Medical Center | North Bergen | $209.65 | $73.80 – $1,269.24 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $98.19 – $1,269.24 |
| Southern Ocean Medical Center | Manahawkin | $194.55 | $98.19 – $1,269.24 |