Ins/rpl prph sac/gstr npg/r at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$23,735.94
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.
$26,168.00
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.
$606.94 with KARNA vs $36,232.00 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 | $606.94 | ↓ -97% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -94% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -90% |
| CIGNA | HMO | $3,140.00 | ↓ -87% |
| CIGNA | PPO | $3,514.00 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $3,689.69 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $4,710.24 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,678.46 | ↓ -76% |
| QUALCARE | HMO | $6,256.00 | ↓ -74% |
| HORIZON | OMNIA | $6,990.00 | ↓ -71% |
| HORIZON | SHP | $7,997.00 | ↓ -66% |
| AETNA | PPO | $8,419.00 | ↓ -65% |
| AETNA | HMO | $8,419.00 | ↓ -65% |
| HORIZON | HMO | $8,624.00 | ↓ -64% |
| HORIZON | INDEMNITY | $8,743.00 | ↓ -63% |
| HORIZON | PPO | $8,826.00 | ↓ -63% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -58% |
| QUALCARE | PPO | $10,231.00 | ↓ -57% |
| HORIZON | WORKERS COMP | $10,715.00 | ↓ -55% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -54% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↓ -41% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -34% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↓ -33% |
| AETNA | ASA | $20,489.54 | ↓ -14% |
| HORIZON | PIP | $20,646.55 | ↓ -13% |
| CIGNA | BH | $20,934.40 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $22,242.80 | ↓ -6% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $22,242.80 | ↓ -6% |
| WELLCARE | MANAGED MEDICAID | $23,735.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $23,735.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $23,735.94 | ↑ +0% |
| VACCN | ALL PRODUCTS | $23,735.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $24,922.73 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $25,872.17 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $28,483.13 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $29,005.00 | ↑ +22% |
| UNITED HEALTHCARE | HMO | $36,232.00 | ↑ +53% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl prph sac/gstr npg/r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $278.81 – $48,117.78 |
| Community Medical Center | Toms River | $3,786.00 | $285.53 – $46,637.92 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $275.45 – $47,877.19 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $294.07 – $50,255.86 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $550.91 – $47,234.52 |
| Bayshore Medical Center | Holmdel | $23,735.94 | $23,735.94 – $28,483.13 |
| Hackensack University Medical Center | Hackensack | $25,254.20 | $625.20 – $26,516.91 |
| Ocean University Medical Center | Brick | $23,436.14 | $606.94 – $28,123.37 |