Insertion of new/replacement ppm w/transvenous electrode(s) 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.
$19,907.00
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.
$968.44 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 | $968.44 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $2,806.89 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $3,583.26 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,319.82 | ↓ -63% |
| WELLCARE | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,583.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,583.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11,725.22 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,162.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12,626.18 | ↑ +9% |
| HORIZON | OMNIA | $12,696.68 | ↑ +10% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $12,740.48 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $13,900.39 | ↑ +20% |
| HORIZON | WORKERS COMP | $14,014.53 | ↑ +21% |
| HORIZON | MANAGED MEDICAID | $14,133.97 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $14,930.25 | ↑ +29% |
| HORIZON | SHP | $15,318.44 | ↑ +32% |
| QUALCARE | PPO | $15,467.74 | ↑ +34% |
| QUALCARE | HMO | $15,467.74 | ↑ +34% |
| AETNA | ASA | $15,587.18 | ↑ +35% |
| HORIZON | HMO | $15,704.63 | ↑ +36% |
| HORIZON | PIP | $15,706.62 | ↑ +36% |
| CIGNA | BH | $15,925.60 | ↑ +37% |
| HORIZON | INDEMNITY | $15,931.57 | ↑ +38% |
| HORIZON | PPO | $16,070.92 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,920.95 | ↑ +46% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16,920.95 | ↑ +46% |
| AMERIHEALTH | LOCAL HMO | $17,215.57 | ↑ +49% |
| QUALCARE | WORKERS COMP | $17,518.16 | ↑ +51% |
| AETNA | HMO | $17,916.30 | ↑ +55% |
| AETNA | PPO | $17,916.30 | ↑ +55% |
| CIGNA | PPO | $19,037.06 | ↑ +64% |
| CIGNA | HMO | $19,037.06 | ↑ +64% |
| AMERIHEALTH | REGIONAL HMO | $19,498.91 | ↑ +68% |
| 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) 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 | $994.52 – $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 | $968.44 – $13,900.39 |
| Palisades Medical Center | North Bergen | $12,324.60 | $807.70 – $13,433.81 |
| Raritan Bay Medical Center | Perth Amboy | $11,593.70 | $994.52 – $13,912.44 |
| Southern Ocean Medical Center | Manahawkin | $11,437.35 | $968.44 – $13,724.82 |