Lung function test (mbc/mvv) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$65.75
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.
$289.00
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.
$25.60 with KARNA vs $1,550.00 with OXFORD — 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 | $25.60 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $40.75 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $52.02 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $62.71 | ↓ -5% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $170.22 | ↑ +159% |
| HORIZON | OMNIA | $184.32 | ↑ +180% |
| HORIZON | WORKERS COMP | $203.46 | ↑ +209% |
| HORIZON | MANAGED MEDICAID | $205.19 | ↑ +212% |
| BERGEN RISK | ALL PRODUCTS | $216.75 | ↑ +230% |
| HORIZON | SHP | $222.39 | ↑ +238% |
| QUALCARE | PPO | $224.55 | ↑ +242% |
| QUALCARE | HMO | $224.55 | ↑ +242% |
| AETNA | ASA | $226.29 | ↑ +244% |
| HORIZON | HMO | $227.99 | ↑ +247% |
| HORIZON | PIP | $228.02 | ↑ +247% |
| CIGNA | BH | $231.20 | ↑ +252% |
| HORIZON | INDEMNITY | $231.29 | ↑ +252% |
| HORIZON | PPO | $233.31 | ↑ +255% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $245.65 | ↑ +274% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $245.65 | ↑ +274% |
| AMERIHEALTH | LOCAL HMO | $249.93 | ↑ +280% |
| QUALCARE | WORKERS COMP | $254.32 | ↑ +287% |
| AETNA | HMO | $260.10 | ↑ +296% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $260.10 | ↑ +296% |
| AETNA | PPO | $260.10 | ↑ +296% |
| CIGNA | PPO | $276.37 | ↑ +320% |
| CIGNA | HMO | $276.37 | ↑ +320% |
| AMERIHEALTH | REGIONAL HMO | $283.08 | ↑ +331% |
| UNITED HEALTHCARE | HMO | $1,387.00 | ↑ +2010% |
| OXFORD | ALL PRODUCTS | $1,550.00 | ↑ +2257% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $55.72 | $66.64 – $133.28 |
| Community Medical Center | Toms River | $54.54 | $64.92 – $129.19 |
| Clara Maass Medical Center | Belleville | $51.91 | $66.64 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $54.78 | $8.06 – $133.28 |
| Jersey City Medical Center | Jersey City | $54.65 | $10.14 – $139.20 |
| Monmouth Medical Center | Long Branch | $57.54 | $65.75 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $910.00 |
| Hackensack University Medical Center | Hackensack | $69.95 | $26.92 – $5,456.00 |