Ins/rpl pm gen exist sgl lead at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$9,160.35
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.
$20,867.00
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.
$657.66 with KARNA vs $63,476.00 with UNITED HEALTHCARE — 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 | $657.66 | ↓ -93% |
| AETNA | MANAGED MEDICAID | $2,942.25 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $3,756.06 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,528.14 | ↓ -51% |
| WELLCARE | MANAGED MEDICAID | $9,160.35 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,160.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,618.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $9,984.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $10,992.42 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12,290.66 | ↑ +34% |
| HORIZON | OMNIA | $13,308.97 | ↑ +45% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,354.88 | ↑ +46% |
| HORIZON | WORKERS COMP | $14,690.37 | ↑ +60% |
| HORIZON | MANAGED MEDICAID | $14,815.57 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $15,650.25 | ↑ +71% |
| HORIZON | SHP | $16,057.16 | ↑ +75% |
| QUALCARE | PPO | $16,213.66 | ↑ +77% |
| QUALCARE | HMO | $16,213.66 | ↑ +77% |
| AETNA | ASA | $16,338.86 | ↑ +78% |
| HORIZON | HMO | $16,461.98 | ↑ +80% |
| HORIZON | PIP | $16,464.06 | ↑ +80% |
| CIGNA | BH | $16,693.60 | ↑ +82% |
| HORIZON | INDEMNITY | $16,699.86 | ↑ +82% |
| HORIZON | PPO | $16,845.93 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $17,736.95 | ↑ +94% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $17,736.95 | ↑ +94% |
| AMERIHEALTH | LOCAL HMO | $18,045.78 | ↑ +97% |
| QUALCARE | WORKERS COMP | $18,362.96 | ↑ +100% |
| AETNA | HMO | $18,780.30 | ↑ +105% |
| AETNA | PPO | $18,780.30 | ↑ +105% |
| CIGNA | PPO | $19,955.11 | ↑ +118% |
| CIGNA | HMO | $19,955.11 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $20,439.23 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $62,905.00 | ↑ +587% |
| UNITED HEALTHCARE | HMO | $63,476.00 | ↑ +593% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $329.59 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $337.54 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $325.62 – $18,477.13 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $209.39 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $651.24 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |
| Hackensack University Medical Center | Hackensack | $9,746.29 | $676.45 – $10,233.61 |
| Ocean University Medical Center | Brick | $9,044.65 | $104.00 – $10,853.58 |