Insertion single tranvenous electrode/ppm/implantable defibrillator 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.
$11,223.00
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.
$756.84 with KARNA vs $10,992.93 with AMERIHEALTH — 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 | $756.84 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $1,582.44 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $2,020.14 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,435.39 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,610.35 | ↓ -28% |
| OXFORD | ALL PRODUCTS | $6,798.89 | ↓ -26% |
| HORIZON | OMNIA | $7,158.03 | ↓ -22% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,182.72 | ↓ -22% |
| HORIZON | WORKERS COMP | $7,900.99 | ↓ -14% |
| HORIZON | MANAGED MEDICAID | $7,968.33 | ↓ -13% |
| BERGEN RISK | ALL PRODUCTS | $8,417.25 | ↓ -8% |
| HORIZON | SHP | $8,636.10 | ↓ -6% |
| QUALCARE | HMO | $8,720.27 | ↓ -5% |
| QUALCARE | PPO | $8,720.27 | ↓ -5% |
| AETNA | ASA | $8,787.61 | ↓ -4% |
| HORIZON | HMO | $8,853.82 | ↓ -3% |
| HORIZON | PIP | $8,854.95 | ↓ -3% |
| CIGNA | BH | $8,978.40 | ↓ -2% |
| HORIZON | INDEMNITY | $8,981.77 | ↓ -2% |
| HORIZON | PPO | $9,060.33 | ↓ -1% |
| UNITED HEALTHCARE | HMO | $9,107.46 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,160.35 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9,160.35 | ↑ +0% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,539.55 | ↑ +4% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,539.55 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,618.37 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $9,705.65 | ↑ +6% |
| QUALCARE | WORKERS COMP | $9,876.24 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $9,984.78 | ↑ +9% |
| AETNA | PPO | $10,100.70 | ↑ +10% |
| AETNA | HMO | $10,100.70 | ↑ +10% |
| CIGNA | HMO | $10,732.55 | ↑ +17% |
| CIGNA | PPO | $10,732.55 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $10,992.42 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $10,992.93 | ↑ +20% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |
| Hackensack University Medical Center | Hackensack | $9,746.29 | $779.18 – $10,233.61 |
| Ocean University Medical Center | Brick | $9,044.65 | $104.00 – $10,853.58 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9,168.30 | $104.00 – $9,168.30 |
| Jersey Shore University Medical Center | Neptune City | $9,160.35 | $756.84 – $10,992.42 |
| Palisades Medical Center | North Bergen | $9,746.29 | $58.00 – $10,623.46 |
| Raritan Bay Medical Center | Perth Amboy | $9,168.30 | $615.00 – $11,001.96 |
| Southern Ocean Medical Center | Manahawkin | $9,044.65 | $756.84 – $10,853.58 |