Injection eye drug at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$367.13
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.
$909.00
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.
$128.17 with AETNA vs $10,715.00 with HORIZON — 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 | $128.17 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $163.62 | ↓ -55% |
| KARNA | MEDICARE ADVANTAGE | $187.06 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $197.25 | ↓ -46% |
| WELLCARE | MANAGED MEDICAID | $367.13 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $367.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $367.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $367.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $385.49 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $400.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $440.56 | ↑ +20% |
| HORIZON | OMNIA | $579.76 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $681.75 | ↑ +86% |
| HORIZON | SHP | $699.48 | ↑ +91% |
| QUALCARE | PPO | $706.29 | ↑ +92% |
| AETNA | ASA | $711.75 | ↑ +94% |
| HORIZON | HMO | $717.11 | ↑ +95% |
| HORIZON | PIP | $717.20 | ↑ +95% |
| CIGNA | BH | $727.20 | ↑ +98% |
| HORIZON | INDEMNITY | $727.47 | ↑ +98% |
| HORIZON | PPO | $733.84 | ↑ +100% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $772.65 | ↑ +110% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $772.65 | ↑ +110% |
| AMERIHEALTH | LOCAL HMO | $786.10 | ↑ +114% |
| QUALCARE | WORKERS COMP | $799.92 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $890.37 | ↑ +143% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +224% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +415% |
| CIGNA | HMO | $2,250.00 | ↑ +513% |
| CIGNA | PPO | $2,522.00 | ↑ +587% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +669% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +846% |
| QUALCARE | HMO | $6,256.00 | ↑ +1604% |
| AETNA | PPO | $8,419.00 | ↑ +2193% |
| AETNA | HMO | $8,419.00 | ↑ +2193% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2606% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +2819% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection eye drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $440.56 |
| Hackensack University Medical Center | Hackensack | $390.62 | $193.78 – $410.15 |
| Ocean University Medical Center | Brick | $362.50 | $187.06 – $435.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $367.45 | $160.00 – $367.45 |
| Jersey Shore University Medical Center | Neptune City | $367.13 | $187.06 – $440.56 |
| Palisades Medical Center | North Bergen | $390.62 | $193.78 – $425.77 |
| Raritan Bay Medical Center | Perth Amboy | $367.45 | $193.78 – $440.94 |
| Southern Ocean Medical Center | Manahawkin | $362.50 | $187.06 – $435.00 |