Ins cerv dilator (sep proc) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$336.70
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.
$745.00
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.
$91.04 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $91.04 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $105.05 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $134.10 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $161.67 | ↓ -52% |
| WELLCARE | MEDICARE ADVANTAGE | $336.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $336.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $336.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $336.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $353.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $367.00 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $404.03 | ↑ +20% |
| HORIZON | OMNIA | $475.16 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $558.75 | ↑ +66% |
| HORIZON | SHP | $573.28 | ↑ +70% |
| QUALCARE | PPO | $578.87 | ↑ +72% |
| AETNA | ASA | $583.34 | ↑ +73% |
| HORIZON | HMO | $587.73 | ↑ +75% |
| HORIZON | PIP | $587.81 | ↑ +75% |
| CIGNA | BH | $596.00 | ↑ +77% |
| HORIZON | INDEMNITY | $596.22 | ↑ +77% |
| HORIZON | PPO | $601.44 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $633.25 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $633.25 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $644.28 | ↑ +91% |
| QUALCARE | WORKERS COMP | $655.60 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $729.73 | ↑ +117% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +253% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +462% |
| CIGNA | HMO | $2,250.00 | ↑ +568% |
| CIGNA | PPO | $2,522.00 | ↑ +649% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +739% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +931% |
| QUALCARE | HMO | $6,256.00 | ↑ +1758% |
| AETNA | PPO | $8,419.00 | ↑ +2400% |
| AETNA | HMO | $8,419.00 | ↑ +2400% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2850% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +3082% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins cerv dilator (sep proc) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $336.70 | $336.70 – $404.03 |
| Hackensack University Medical Center | Hackensack | $358.23 | $92.93 – $376.14 |
| Ocean University Medical Center | Brick | $332.44 | $91.04 – $398.93 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $336.99 | $83.50 – $336.99 |
| Jersey Shore University Medical Center | Neptune City | $336.70 | $91.04 – $404.03 |
| Palisades Medical Center | North Bergen | $358.23 | $92.93 – $390.47 |
| Raritan Bay Medical Center | Perth Amboy | $336.99 | $92.93 – $404.39 |
| Southern Ocean Medical Center | Manahawkin | $332.44 | $91.04 – $398.93 |