Injection therapeutic/prophylactic/diagnostic subcutaneous/im at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$78.78
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.
$1,987.00
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.
$24.07 with KARNA vs $330.09 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $24.07 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $47.52 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $60.66 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $73.13 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $78.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $78.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $78.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $78.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $82.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $85.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $94.53 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $198.49 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $207.79 | ↑ +164% |
| HORIZON | OMNIA | $214.94 | ↑ +173% |
| HORIZON | WORKERS COMP | $237.25 | ↑ +201% |
| HORIZON | MANAGED MEDICAID | $239.27 | ↑ +204% |
| HORIZON - JRI@RMC | PIP | $240.15 | ↑ +205% |
| HORIZON - JRI@RMC | WORKERS COMP | $240.15 | ↑ +205% |
| BERGEN RISK | ALL PRODUCTS | $252.75 | ↑ +221% |
| HORIZON | SHP | $259.32 | ↑ +229% |
| QUALCARE | PPO | $261.85 | ↑ +232% |
| QUALCARE | HMO | $261.85 | ↑ +232% |
| AETNA | ASA | $263.87 | ↑ +235% |
| HORIZON | HMO | $265.86 | ↑ +237% |
| HORIZON | PIP | $265.89 | ↑ +238% |
| CIGNA | BH | $269.60 | ↑ +242% |
| HORIZON | INDEMNITY | $269.70 | ↑ +242% |
| HORIZON | PPO | $272.06 | ↑ +245% |
| UNITED HEALTHCARE | HMO | $273.48 | ↑ +247% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $286.45 | ↑ +264% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $286.45 | ↑ +264% |
| AMERIHEALTH | LOCAL HMO | $291.44 | ↑ +270% |
| QUALCARE | WORKERS COMP | $296.56 | ↑ +276% |
| AETNA | HMO | $303.30 | ↑ +285% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $303.30 | ↑ +285% |
| AETNA | PPO | $303.30 | ↑ +285% |
| CIGNA | HMO | $322.27 | ↑ +309% |
| CIGNA | PPO | $322.27 | ↑ +309% |
| AMERIHEALTH | REGIONAL HMO | $330.09 | ↑ +319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic subcutaneous/im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $78.78 | $78.78 – $94.53 |
| Hackensack University Medical Center | Hackensack | $83.81 | $25.10 – $4,221.00 |
| Ocean University Medical Center | Brick | $77.78 | $24.07 – $3,128.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $78.84 | $7.97 – $3,343.00 |
| Jersey Shore University Medical Center | Neptune City | $78.78 | $7.97 – $94.53 |
| Palisades Medical Center | North Bergen | $83.81 | $23.11 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $78.84 | $25.10 – $94.61 |
| Southern Ocean Medical Center | Manahawkin | $77.78 | $7.97 – $93.34 |