Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$416.78
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.
$1,540.00
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.
$217.14 with AETNA vs $1,909.83 with CIGNA — 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 | $217.14 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $260.90 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $335.72 | ↓ -19% |
| AMERIGROUP | MANAGED MEDICAID | $416.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $416.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $416.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $416.78 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $416.78 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $416.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $437.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $454.29 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $500.14 | ↑ +20% |
| QUALCARE | HMO | $763.84 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $855.44 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $855.44 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $891.04 | ↑ +114% |
| HORIZON | OMNIA | $982.21 | ↑ +136% |
| AETNA | HMO | $1,059.52 | ↑ +154% |
| AETNA | PPO | $1,059.52 | ↑ +154% |
| HORIZON | WORKERS COMP | $1,084.16 | ↑ +160% |
| BERGEN RISK | ALL PRODUCTS | $1,155.00 | ↑ +177% |
| HORIZON | SHP | $1,185.03 | ↑ +184% |
| QUALCARE | PPO | $1,196.58 | ↑ +187% |
| AETNA | ASA | $1,205.82 | ↑ +189% |
| HORIZON | HMO | $1,214.91 | ↑ +191% |
| HORIZON | PIP | $1,215.06 | ↑ +192% |
| CIGNA | BH | $1,232.00 | ↑ +196% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,232.00 | ↑ +196% |
| HORIZON | INDEMNITY | $1,232.46 | ↑ +196% |
| HORIZON | PPO | $1,243.24 | ↑ +198% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,309.00 | ↑ +214% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,309.00 | ↑ +214% |
| AMERIHEALTH | LOCAL HMO | $1,331.79 | ↑ +220% |
| QUALCARE | WORKERS COMP | $1,355.20 | ↑ +225% |
| AMERIHEALTH | REGIONAL HMO | $1,508.43 | ↑ +262% |
| CIGNA | HMO | $1,909.83 | ↑ +358% |
| CIGNA | PPO | $1,909.83 | ↑ +358% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $416.78 | $416.78 – $1,909.83 |
| Hackensack University Medical Center | Hackensack | $416.78 | $333.42 – $1,871.55 |
| Ocean University Medical Center | Brick | $416.78 | $366.76 – $1,909.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $416.78 | $366.76 – $1,961.47 |
| Jersey Shore University Medical Center | Neptune City | $416.78 | $333.42 – $1,909.83 |
| Palisades Medical Center | North Bergen | $416.78 | $372.07 – $1,909.83 |
| Raritan Bay Medical Center | Perth Amboy | $416.78 | $416.78 – $1,909.83 |
| Southern Ocean Medical Center | Manahawkin | $416.78 | $416.78 – $1,909.83 |