Hlth bhv ivntj indiv 1st 30 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$177.84
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.
$464.00
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.
$65.42 with AETNA vs $454.49 with AMERIHEALTH — 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 | $65.42 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $83.52 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $95.79 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $100.69 | ↓ -43% |
| WELLCARE | MANAGED MEDICAID | $177.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $177.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $177.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $177.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.73 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $193.84 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $213.41 | ↑ +20% |
| QUALCARE | HMO | $256.13 | ↑ +44% |
| QUALCARE | PPO | $256.13 | ↑ +44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $273.30 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $281.09 | ↑ +58% |
| HORIZON | OMNIA | $295.94 | ↑ +66% |
| HORIZON | WORKERS COMP | $326.66 | ↑ +84% |
| HORIZON | MANAGED MEDICAID | $329.44 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $348.00 | ↑ +96% |
| HORIZON | SHP | $357.05 | ↑ +101% |
| AETNA | ASA | $363.31 | ↑ +104% |
| HORIZON | HMO | $366.05 | ↑ +106% |
| HORIZON | PIP | $366.10 | ↑ +106% |
| CIGNA | BH | $371.20 | ↑ +109% |
| HORIZON | INDEMNITY | $371.34 | ↑ +109% |
| HORIZON | PPO | $374.59 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $376.54 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $394.40 | ↑ +122% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $394.40 | ↑ +122% |
| AMERIHEALTH | LOCAL HMO | $401.27 | ↑ +126% |
| QUALCARE | WORKERS COMP | $408.32 | ↑ +130% |
| AETNA | HMO | $417.60 | ↑ +135% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $417.60 | ↑ +135% |
| AETNA | PPO | $417.60 | ↑ +135% |
| CIGNA | HMO | $443.72 | ↑ +150% |
| CIGNA | PPO | $443.72 | ↑ +150% |
| AMERIHEALTH | REGIONAL HMO | $454.49 | ↑ +156% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj indiv 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $213.41 |
| Hackensack University Medical Center | Hackensack | $189.21 | $98.14 – $198.68 |
| Ocean University Medical Center | Brick | $175.59 | $95.79 – $210.71 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $177.99 | $33.47 – $168.70 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $33.47 – $213.41 |
| Palisades Medical Center | North Bergen | $189.21 | $72.06 – $206.24 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $91.45 – $213.59 |
| Southern Ocean Medical Center | Manahawkin | $175.59 | $33.47 – $210.71 |