Knee arthroscopy/surgery at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,771.43
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.
$9,093.00
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.
$1,282.11 with AETNA vs $19,690.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,282.11 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $1,636.74 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $1,945.62 | ↑ +10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,973.18 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↑ +34% |
| HORIZON | MANAGED MEDICAID | $3,265.00 | ↑ +84% |
| CIGNA | HMO | $4,418.00 | ↑ +149% |
| CIGNA | PPO | $4,950.00 | ↑ +179% |
| HORIZON | OMNIA | $5,799.52 | ↑ +227% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| BERGEN RISK | ALL PRODUCTS | $6,819.75 | ↑ +285% |
| HORIZON | SHP | $6,997.06 | ↑ +295% |
| QUALCARE | PPO | $7,065.26 | ↑ +299% |
| AETNA | ASA | $7,119.82 | ↑ +302% |
| HORIZON | HMO | $7,173.47 | ↑ +305% |
| HORIZON | PIP | $7,174.38 | ↑ +305% |
| CIGNA | BH | $7,274.40 | ↑ +311% |
| HORIZON | INDEMNITY | $7,277.13 | ↑ +311% |
| HORIZON | PPO | $7,340.78 | ↑ +314% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,729.05 | ↑ +336% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,729.05 | ↑ +336% |
| AMERIHEALTH | LOCAL HMO | $7,863.63 | ↑ +344% |
| QUALCARE | WORKERS COMP | $8,001.84 | ↑ +352% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| AMERIHEALTH | REGIONAL HMO | $8,906.59 | ↑ +403% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +505% |
| OXFORD | ALL PRODUCTS | $15,785.00 | ↑ +791% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +802% |
| UNITED HEALTHCARE | HMO | $19,690.00 | ↑ +1012% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $478.69 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $705.93 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $722.94 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $697.43 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $492.77 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $619.48 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,394.85 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $15,984.00 |