Injection radioactive tracer sentinel node (both sides) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$444.77
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.
$2,063.00
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.
$34.50 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $34.50 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $64.88 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $290.88 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $371.34 | ↓ -17% |
| AETNA | MEDICARE ADVANTAGE | $433.23 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $447.67 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +167% |
| HORIZON | OMNIA | $1,315.78 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $1,547.25 | ↑ +248% |
| HORIZON | SHP | $1,587.48 | ↑ +257% |
| QUALCARE | PPO | $1,602.95 | ↑ +260% |
| AETNA | ASA | $1,615.33 | ↑ +263% |
| HORIZON | HMO | $1,627.50 | ↑ +266% |
| HORIZON | PIP | $1,627.71 | ↑ +266% |
| CIGNA | BH | $1,650.40 | ↑ +271% |
| HORIZON | INDEMNITY | $1,651.02 | ↑ +271% |
| HORIZON | PPO | $1,665.46 | ↑ +274% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,753.55 | ↑ +294% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,753.55 | ↑ +294% |
| AMERIHEALTH | LOCAL HMO | $1,784.08 | ↑ +301% |
| QUALCARE | WORKERS COMP | $1,815.44 | ↑ +308% |
| AMERIHEALTH | REGIONAL HMO | $2,020.71 | ↑ +354% |
| CIGNA | HMO | $2,250.00 | ↑ +406% |
| CIGNA | PPO | $2,522.00 | ↑ +467% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +535% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +681% |
| QUALCARE | HMO | $6,256.00 | ↑ +1307% |
| AETNA | PPO | $8,419.00 | ↑ +1793% |
| AETNA | HMO | $8,419.00 | ↑ +1793% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2133% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +2309% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $444.77 – $533.72 |
| Hackensack University Medical Center | Hackensack | $473.22 | $44.60 – $496.88 |
| Ocean University Medical Center | Brick | $439.15 | $64.88 – $731.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $66.55 – $731.72 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $64.88 – $533.72 |
| Palisades Medical Center | North Bergen | $473.22 | $49.20 – $515.81 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $66.55 – $606.70 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $64.88 – $526.98 |