Home sleep test/type 4 porta at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$344.68
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.
$587.00
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.
$82.77 with AETNA vs $5,942.00 with OXFORD — 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 | $82.77 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $105.66 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $127.38 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $186.00 | ↓ -46% |
| WELLCARE | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $344.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $344.68 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $345.74 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $361.91 | ↑ +5% |
| HORIZON | OMNIA | $374.39 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $375.70 | ↑ +9% |
| HORIZON | WORKERS COMP | $413.25 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $413.61 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $440.25 | ↑ +28% |
| AETNA | HMO | $445.06 | ↑ +29% |
| AETNA | PPO | $445.06 | ↑ +29% |
| HORIZON | SHP | $451.70 | ↑ +31% |
| QUALCARE | HMO | $456.10 | ↑ +32% |
| QUALCARE | PPO | $456.10 | ↑ +32% |
| AETNA | ASA | $459.62 | ↑ +33% |
| HORIZON | HMO | $463.08 | ↑ +34% |
| HORIZON | PIP | $463.14 | ↑ +34% |
| CIGNA | BH | $469.60 | ↑ +36% |
| HORIZON | INDEMNITY | $469.78 | ↑ +36% |
| HORIZON | PPO | $473.89 | ↑ +37% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $498.95 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $498.95 | ↑ +45% |
| AMERIHEALTH | LOCAL HMO | $507.64 | ↑ +47% |
| QUALCARE | WORKERS COMP | $516.56 | ↑ +50% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $528.30 | ↑ +53% |
| CIGNA | PPO | $561.35 | ↑ +63% |
| CIGNA | HMO | $561.35 | ↑ +63% |
| AMERIHEALTH | REGIONAL HMO | $574.97 | ↑ +67% |
| UNITED HEALTHCARE | HMO | $5,249.00 | ↑ +1423% |
| OXFORD | ALL PRODUCTS | $5,942.00 | ↑ +1624% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Home sleep test/type 4 porta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $0.01 – $4,254.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $344.68 – $5,543.00 |
| Palisades Medical Center | North Bergen | $366.72 | $0.01 – $10,512.00 |
| Raritan Bay Medical Center | Perth Amboy | $344.98 | $0.01 – $1,818.00 |
| Southern Ocean Medical Center | Manahawkin | $340.32 | $340.32 – $889.00 |