Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$37.27
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.
$264.00
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.
$22.86 with HORIZON vs $258.59 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $22.86 | ↓ -39% |
| AETNA | MANAGED MEDICAID | $37.22 | ↓ -0% |
| WELLCARE | MANAGED MEDICAID | $37.27 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $37.27 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $37.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $37.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $37.27 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $37.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.13 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $40.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $44.72 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $48.54 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $57.55 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $76.50 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $76.50 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $78.97 | ↑ +112% |
| QUALCARE | HMO | $130.94 | ↑ +251% |
| HORIZON | OMNIA | $168.38 | ↑ +352% |
| CIGNA | HMO | $170.78 | ↑ +358% |
| CIGNA | PPO | $170.78 | ↑ +358% |
| AETNA | HMO | $181.63 | ↑ +387% |
| AETNA | PPO | $181.63 | ↑ +387% |
| HORIZON | WORKERS COMP | $185.86 | ↑ +399% |
| BERGEN RISK | ALL PRODUCTS | $198.00 | ↑ +431% |
| HORIZON | SHP | $203.15 | ↑ +445% |
| QUALCARE | PPO | $205.13 | ↑ +450% |
| AETNA | ASA | $206.71 | ↑ +455% |
| HORIZON | HMO | $208.27 | ↑ +459% |
| HORIZON | PIP | $208.30 | ↑ +459% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $211.20 | ↑ +467% |
| CIGNA | BH | $211.20 | ↑ +467% |
| HORIZON | INDEMNITY | $211.28 | ↑ +467% |
| HORIZON | PPO | $213.13 | ↑ +472% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $224.40 | ↑ +502% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $224.40 | ↑ +502% |
| AMERIHEALTH | LOCAL HMO | $228.31 | ↑ +513% |
| QUALCARE | WORKERS COMP | $232.32 | ↑ +523% |
| AMERIHEALTH | REGIONAL HMO | $258.59 | ↑ +594% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $37.27 | $37.27 – $170.78 |
| Hackensack University Medical Center | Hackensack | $37.27 | $29.56 – $167.36 |
| Ocean University Medical Center | Brick | $37.27 | $32.80 – $170.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $37.27 | $32.80 – $175.40 |
| Jersey Shore University Medical Center | Neptune City | $37.27 | $29.82 – $170.78 |
| Palisades Medical Center | North Bergen | $37.27 | $32.60 – $170.78 |
| Raritan Bay Medical Center | Perth Amboy | $37.27 | $37.27 – $170.78 |
| Southern Ocean Medical Center | Manahawkin | $37.27 | $37.27 – $170.78 |