In-111 autol wbc diag per dose at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,031.39
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.
$2,685.00
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.
$378.59 with AETNA vs $7,232.46 with KARNA — 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 | $378.59 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $483.30 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $582.65 | ↓ -44% |
| VACCN | ALL PRODUCTS | $1,031.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,031.39 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $1,080.18 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,082.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,124.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,237.67 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,581.47 | ↑ +53% |
| OXFORD | ALL PRODUCTS | $1,626.57 | ↑ +58% |
| AETNA | PPO | $1,664.70 | ↑ +61% |
| AETNA | HMO | $1,664.70 | ↑ +61% |
| HORIZON | OMNIA | $1,712.49 | ↑ +66% |
| HORIZON | WORKERS COMP | $1,890.24 | ↑ +83% |
| HORIZON | MANAGED MEDICAID | $1,906.35 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $2,013.75 | ↑ +95% |
| HORIZON | SHP | $2,066.11 | ↑ +100% |
| QUALCARE | PPO | $2,086.25 | ↑ +102% |
| QUALCARE | HMO | $2,086.25 | ↑ +102% |
| AETNA | ASA | $2,102.36 | ↑ +104% |
| HORIZON | HMO | $2,118.20 | ↑ +105% |
| HORIZON | PIP | $2,118.47 | ↑ +105% |
| CIGNA | BH | $2,148.00 | ↑ +108% |
| HORIZON | INDEMNITY | $2,148.81 | ↑ +108% |
| HORIZON | PPO | $2,167.60 | ↑ +110% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,282.25 | ↑ +121% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,282.25 | ↑ +121% |
| QUALCARE | WORKERS COMP | $2,362.80 | ↑ +129% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,416.50 | ↑ +134% |
| CIGNA | PPO | $2,567.67 | ↑ +149% |
| CIGNA | HMO | $2,567.67 | ↑ +149% |
| AMERIHEALTH | REGIONAL HMO | $2,685.00 | ↑ +160% |
| KARNA | MEDICARE ADVANTAGE | $7,232.46 | ↑ +601% |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
In-111 autol wbc diag per dose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,031.39 | $1,031.39 – $1,237.67 |
| Hackensack University Medical Center | Hackensack | $1,031.39 | $825.11 – $7,385.16 |
| Ocean University Medical Center | Brick | $1,031.39 | $0.01 – $7,232.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,031.39 | $0.01 – $7,385.16 |
| Jersey Shore University Medical Center | Neptune City | $1,031.39 | $1,031.39 – $7,232.46 |
| Palisades Medical Center | North Bergen | $1,031.39 | $1,031.39 – $7,385.16 |
| Raritan Bay Medical Center | Perth Amboy | $1,031.39 | $1,031.39 – $7,385.16 |
| Southern Ocean Medical Center | Manahawkin | $1,031.39 | $1,031.39 – $7,232.46 |