Lower Back (Lumbar Spine) CT scan (with contrast) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$395.29
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.
$3,414.00
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.
$238.25 with HORIZON vs $2,917.00 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 | $238.25 | ↓ -40% |
| KARNA | MEDICARE ADVANTAGE | $317.95 | ↓ -20% |
| CIGNA | HMO | $347.76 | ↓ -12% |
| CIGNA | PPO | $347.76 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| AETNA | HMO | $468.88 | ↑ +19% |
| AETNA | PPO | $468.88 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $481.37 | ↑ +22% |
| CLOVER | MEDICARE ADVANTAGE | $614.52 | ↑ +55% |
| AMERIHEALTH | LOCAL HMO | $642.47 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +64% |
| AMERIHEALTH | REGIONAL HMO | $653.59 | ↑ +65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $740.84 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +127% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +446% |
| HORIZON | OMNIA | $2,177.45 | ↑ +451% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,355.66 | ↑ +496% |
| HORIZON | WORKERS COMP | $2,403.46 | ↑ +508% |
| BERGEN RISK | ALL PRODUCTS | $2,560.50 | ↑ +548% |
| HORIZON | SHP | $2,627.07 | ↑ +565% |
| AETNA | ASA | $2,673.16 | ↑ +576% |
| HORIZON | HMO | $2,693.30 | ↑ +581% |
| HORIZON | PIP | $2,693.65 | ↑ +581% |
| CIGNA | BH | $2,731.20 | ↑ +591% |
| HORIZON | INDEMNITY | $2,732.22 | ↑ +591% |
| HORIZON | PPO | $2,756.12 | ↑ +597% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,901.90 | ↑ +634% |
| QUALCARE | PPO | $2,917.00 | ↑ +638% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $448.22 | $89.95 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $514.49 | $279.10 – $801.34 |
| Community Medical Center | Toms River | $495.27 | $221.00 – $776.70 |
| Clara Maass Medical Center | Belleville | $768.74 | $221.00 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $505.75 | $92.60 – $801.34 |
| Jersey City Medical Center | Jersey City | $496.22 | $116.41 – $836.95 |
| Monmouth Medical Center | Long Branch | $522.49 | $221.00 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $347.76 – $2,083.00 |