Kidney imag w/bld flow multi at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$595.79
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.
$2,970.00
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.
$201.60 with HORIZON vs $2,673.00 with BRIGHTON HEALTH PLAN — 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 | $201.60 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $334.54 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $418.77 | ↓ -30% |
| AMERIHEALTH | LOCAL HMO | $499.26 | ↓ -16% |
| AMERIHEALTH | REGIONAL HMO | $507.90 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $534.60 | ↓ -10% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $622.94 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $644.49 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| AETNA | HMO | $868.61 | ↑ +46% |
| AETNA | PPO | $868.61 | ↑ +46% |
| CIGNA | PPO | $1,096.82 | ↑ +84% |
| CIGNA | HMO | $1,096.82 | ↑ +84% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| HORIZON | OMNIA | $1,894.27 | ↑ +218% |
| HORIZON | WORKERS COMP | $2,090.88 | ↑ +251% |
| BERGEN RISK | ALL PRODUCTS | $2,227.50 | ↑ +274% |
| HORIZON | SHP | $2,285.42 | ↑ +284% |
| QUALCARE | HMO | $2,307.69 | ↑ +287% |
| QUALCARE | PPO | $2,307.69 | ↑ +287% |
| AETNA | ASA | $2,325.51 | ↑ +290% |
| HORIZON | HMO | $2,343.03 | ↑ +293% |
| HORIZON | PIP | $2,343.33 | ↑ +293% |
| CIGNA | BH | $2,376.00 | ↑ +299% |
| HORIZON | INDEMNITY | $2,376.89 | ↑ +299% |
| HORIZON | PPO | $2,397.68 | ↑ +302% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,524.50 | ↑ +324% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,524.50 | ↑ +324% |
| QUALCARE | WORKERS COMP | $2,613.60 | ↑ +339% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,673.00 | ↑ +349% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Kidney imag w/bld flow multi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $500.08 | $236.16 – $1,424.76 |
| Community Medical Center | Toms River | $592.95 | $236.16 – $1,424.76 |
| Clara Maass Medical Center | Belleville | $605.25 | $236.16 – $1,424.76 |
| Newark Beth Israel Medical Center | Newark | $491.58 | $181.43 – $1,424.76 |
| Jersey City Medical Center | Jersey City | $594.10 | $228.08 – $1,424.76 |
| Monmouth Medical Center | Long Branch | $625.54 | $236.16 – $1,424.76 |
| Bayshore Medical Center | Holmdel | $595.79 | $334.54 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $214.08 – $1,513.47 |