Hc nm myocard infarct avid plnr tomo spect w/wo quant at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$595.79
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.
$1,785.00
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.
$163.44 with HORIZON vs $1,606.50 with BRIGHTON HEALTH PLAN — 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 | $163.44 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $251.69 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $321.30 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $378.59 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $387.35 | ↓ -35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $391.34 | ↓ -34% |
| AMERIHEALTH | LOCAL HMO | $497.27 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $505.87 | ↓ -15% |
| AETNA | PPO | $533.46 | ↓ -10% |
| AETNA | HMO | $533.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| CIGNA | HMO | $641.33 | ↑ +8% |
| CIGNA | PPO | $641.33 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| HORIZON | OMNIA | $1,138.47 | ↑ +91% |
| HORIZON | WORKERS COMP | $1,256.64 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| BERGEN RISK | ALL PRODUCTS | $1,338.75 | ↑ +125% |
| HORIZON | SHP | $1,373.56 | ↑ +131% |
| QUALCARE | PPO | $1,386.95 | ↑ +133% |
| QUALCARE | HMO | $1,386.95 | ↑ +133% |
| AETNA | ASA | $1,397.66 | ↑ +135% |
| HORIZON | HMO | $1,408.19 | ↑ +136% |
| HORIZON | PIP | $1,408.37 | ↑ +136% |
| CIGNA | BH | $1,428.00 | ↑ +140% |
| HORIZON | INDEMNITY | $1,428.54 | ↑ +140% |
| HORIZON | PPO | $1,441.03 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,517.25 | ↑ +155% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,517.25 | ↑ +155% |
| QUALCARE | WORKERS COMP | $1,570.80 | ↑ +164% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,606.50 | ↑ +170% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc nm myocard infarct avid plnr tomo spect w/wo quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $391.34 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $173.56 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $378.59 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $398.71 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $378.59 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $191.45 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $262.67 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $378.59 – $641.33 |