Ivp w/nephrotomography at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$197.04
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.
$2,475.00
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.
$115.50 with HORIZON vs $2,178.00 with QUALCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $115.50 | ↓ -41% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $159.30 | ↓ -19% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $204.88 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AMERIHEALTH | REGIONAL HMO | $208.42 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $279.10 | ↑ +42% |
| AETNA | PPO | $314.19 | ↑ +59% |
| AETNA | HMO | $314.19 | ↑ +59% |
| AETNA | MANAGED MEDICAID | $348.98 | ↑ +77% |
| CLOVER | MEDICARE ADVANTAGE | $445.50 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $483.42 | ↑ +145% |
| CIGNA | HMO | $492.52 | ↑ +150% |
| CIGNA | PPO | $492.52 | ↑ +150% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $537.08 | ↑ +173% |
| QUALCARE | HMO | $1,227.60 | ↑ +523% |
| HORIZON | OMNIA | $1,578.56 | ↑ +701% |
| HORIZON | WORKERS COMP | $1,742.40 | ↑ +784% |
| BERGEN RISK | ALL PRODUCTS | $1,856.25 | ↑ +842% |
| HORIZON | SHP | $1,904.51 | ↑ +867% |
| QUALCARE | PPO | $1,923.08 | ↑ +876% |
| AETNA | ASA | $1,937.93 | ↑ +884% |
| HORIZON | HMO | $1,952.53 | ↑ +891% |
| HORIZON | PIP | $1,952.78 | ↑ +891% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,980.00 | ↑ +905% |
| CIGNA | BH | $1,980.00 | ↑ +905% |
| HORIZON | INDEMNITY | $1,980.74 | ↑ +905% |
| HORIZON | PPO | $1,998.07 | ↑ +914% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,103.75 | ↑ +968% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,103.75 | ↑ +968% |
| QUALCARE | WORKERS COMP | $2,178.00 | ↑ +1005% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ivp w/nephrotomography at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $251.89 | $78.97 – $668.30 |
| Bayshore Medical Center | Holmdel | $197.04 | $159.30 – $492.52 |
| Hackensack University Medical Center | Hackensack | $209.65 | $122.65 – $552.17 |
| Ocean University Medical Center | Brick | $194.55 | $159.30 – $492.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $511.99 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $159.30 – $492.52 |
| Palisades Medical Center | North Bergen | $209.65 | $135.30 – $492.52 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $159.30 – $492.52 |