Lung Function Test (Spirometry) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$173.18
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.
$1,375.00
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.
$46.41 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 | $46.41 | ↓ -73% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $193.88 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↑ +43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $298.38 | ↑ +72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $809.88 | ↑ +368% |
| HORIZON | OMNIA | $876.98 | ↑ +406% |
| HORIZON | WORKERS COMP | $968.00 | ↑ +459% |
| HORIZON | MANAGED MEDICAID | $976.25 | ↑ +464% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +495% |
| HORIZON | SHP | $1,058.06 | ↑ +511% |
| QUALCARE | PPO | $1,068.38 | ↑ +517% |
| QUALCARE | HMO | $1,068.38 | ↑ +517% |
| AETNA | ASA | $1,076.63 | ↑ +522% |
| HORIZON | HMO | $1,084.74 | ↑ +526% |
| HORIZON | PIP | $1,084.88 | ↑ +526% |
| CIGNA | BH | $1,100.00 | ↑ +535% |
| HORIZON | INDEMNITY | $1,100.41 | ↑ +535% |
| HORIZON | PPO | $1,110.04 | ↑ +541% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +575% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,168.75 | ↑ +575% |
| AMERIHEALTH | LOCAL HMO | $1,189.10 | ↑ +587% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +599% |
| AETNA | HMO | $1,237.50 | ↑ +615% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,237.50 | ↑ +615% |
| AETNA | PPO | $1,237.50 | ↑ +615% |
| CIGNA | PPO | $1,314.91 | ↑ +659% |
| CIGNA | HMO | $1,314.91 | ↑ +659% |
| AMERIHEALTH | REGIONAL HMO | $1,346.81 | ↑ +678% |
| UNITED HEALTHCARE | HMO | $1,387.00 | ↑ +701% |
| OXFORD | ALL PRODUCTS | $1,550.00 | ↑ +795% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $187.95 | $175.54 – $351.08 |
| Community Medical Center | Toms River | $168.82 | $170.99 – $340.27 |
| Clara Maass Medical Center | Belleville | $164.68 | $175.54 – $349.32 |
| Newark Beth Israel Medical Center | Newark | $184.76 | $14.63 – $351.08 |
| Jersey City Medical Center | Jersey City | $169.14 | $18.39 – $366.68 |
| Monmouth Medical Center | Long Branch | $178.10 | $173.18 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $910.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $48.73 – $5,456.00 |