Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$11,583.66
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.
$35,616.00
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.
$1,047.82 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 | $1,047.82 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $5,021.86 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $6,410.88 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,728.67 | ↓ -33% |
| WELLCARE | MANAGED MEDICAID | $11,583.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,583.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,162.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12,626.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13,900.39 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20,977.82 | ↑ +81% |
| HORIZON | OMNIA | $22,715.88 | ↑ +96% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22,794.24 | ↑ +97% |
| HORIZON | WORKERS COMP | $25,073.66 | ↑ +116% |
| HORIZON | MANAGED MEDICAID | $25,287.36 | ↑ +118% |
| BERGEN RISK | ALL PRODUCTS | $26,712.00 | ↑ +131% |
| HORIZON | SHP | $27,406.51 | ↑ +137% |
| QUALCARE | PPO | $27,673.63 | ↑ +139% |
| QUALCARE | HMO | $27,673.63 | ↑ +139% |
| AETNA | ASA | $27,887.33 | ↑ +141% |
| HORIZON | HMO | $28,097.46 | ↑ +143% |
| HORIZON | PIP | $28,101.02 | ↑ +143% |
| CIGNA | BH | $28,492.80 | ↑ +146% |
| HORIZON | INDEMNITY | $28,503.48 | ↑ +146% |
| HORIZON | PPO | $28,752.80 | ↑ +148% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $30,273.60 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $30,273.60 | ↑ +161% |
| AMERIHEALTH | LOCAL HMO | $30,800.72 | ↑ +166% |
| QUALCARE | WORKERS COMP | $31,342.08 | ↑ +171% |
| AETNA | HMO | $32,054.40 | ↑ +177% |
| AETNA | PPO | $32,054.40 | ↑ +177% |
| CIGNA | PPO | $34,059.58 | ↑ +194% |
| CIGNA | HMO | $34,059.58 | ↑ +194% |
| AMERIHEALTH | REGIONAL HMO | $34,885.87 | ↑ +201% |
| OXFORD | ALL PRODUCTS | $62,905.00 | ↑ +443% |
| UNITED HEALTHCARE | HMO | $63,476.00 | ↑ +448% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $1,075.73 – $12,940.83 |
| Ocean University Medical Center | Brick | $11,437.35 | $104.00 – $13,724.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11,593.70 | $104.00 – $11,593.70 |
| Jersey Shore University Medical Center | Neptune City | $11,583.66 | $1,047.82 – $13,900.39 |
| Palisades Medical Center | North Bergen | $12,324.60 | $575.85 – $13,433.81 |
| Raritan Bay Medical Center | Perth Amboy | $11,593.70 | $730.78 – $13,912.44 |
| Southern Ocean Medical Center | Manahawkin | $11,437.35 | $1,047.82 – $13,724.82 |