Lung perfusion imaging at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$444.77
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.
?
What you pay up front if you don't use insurance.
$1,760.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$117.15 with HORIZON vs $1,584.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $117.15 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $248.16 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $256.91 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $316.80 | ↓ -29% |
| AMERIHEALTH | LOCAL HMO | $328.20 | ↓ -26% |
| AMERIHEALTH | REGIONAL HMO | $333.88 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $381.92 | ↓ -14% |
| KARNA | MEDICARE ADVANTAGE | $400.30 | ↓ -10% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| AETNA | HMO | $593.33 | ↑ +33% |
| AETNA | PPO | $593.33 | ↑ +33% |
| CIGNA | HMO | $731.50 | ↑ +64% |
| CIGNA | PPO | $731.50 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +130% |
| HORIZON | OMNIA | $1,122.53 | ↑ +152% |
| HORIZON | WORKERS COMP | $1,239.04 | ↑ +179% |
| BERGEN RISK | ALL PRODUCTS | $1,320.00 | ↑ +197% |
| HORIZON | SHP | $1,354.32 | ↑ +204% |
| QUALCARE | PPO | $1,367.52 | ↑ +207% |
| QUALCARE | HMO | $1,367.52 | ↑ +207% |
| AETNA | ASA | $1,378.08 | ↑ +210% |
| HORIZON | HMO | $1,388.46 | ↑ +212% |
| HORIZON | PIP | $1,388.64 | ↑ +212% |
| CIGNA | BH | $1,408.00 | ↑ +217% |
| HORIZON | INDEMNITY | $1,408.53 | ↑ +217% |
| HORIZON | PPO | $1,420.85 | ↑ +219% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,496.00 | ↑ +236% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,496.00 | ↑ +236% |
| QUALCARE | WORKERS COMP | $1,548.80 | ↑ +248% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,584.00 | ↑ +256% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung perfusion imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $332.04 | $113.25 – $951.00 |
| Cooperman Barnabas Medical Center | Livingston | $402.61 | $137.24 – $951.00 |
| Community Medical Center | Toms River | $366.89 | $137.24 – $951.00 |
| Clara Maass Medical Center | Belleville | $334.74 | $137.24 – $951.00 |
| Newark Beth Israel Medical Center | Newark | $395.77 | $116.58 – $951.00 |
| Jersey City Medical Center | Jersey City | $367.59 | $137.24 – $951.00 |
| Monmouth Medical Center | Long Branch | $387.05 | $137.24 – $951.00 |
| Bayshore Medical Center | Holmdel | $444.77 | $256.91 – $1,021.05 |