Lymph vessel x-ray arm/leg at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$684.33
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.
$1,797.00
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.
$101.64 with HORIZON vs $1,760.16 with AMERIHEALTH — 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 | $101.64 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $253.38 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $323.46 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $389.95 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $405.57 | ↓ -41% |
| WELLCARE | MANAGED MEDICAID | $684.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $684.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $718.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $745.92 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $769.07 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $821.19 | ↑ +20% |
| QUALCARE | HMO | $891.31 | ↑ +30% |
| HORIZON | OMNIA | $1,146.13 | ↑ +67% |
| HORIZON | WORKERS COMP | $1,265.09 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $1,347.75 | ↑ +97% |
| HORIZON | SHP | $1,382.79 | ↑ +102% |
| QUALCARE | PPO | $1,396.27 | ↑ +104% |
| AETNA | ASA | $1,407.05 | ↑ +106% |
| HORIZON | HMO | $1,417.65 | ↑ +107% |
| HORIZON | PIP | $1,417.83 | ↑ +107% |
| CIGNA | BH | $1,437.60 | ↑ +110% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,437.60 | ↑ +110% |
| HORIZON | INDEMNITY | $1,438.14 | ↑ +110% |
| HORIZON | PPO | $1,450.72 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $1,466.44 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $1,466.44 | ↑ +114% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,527.45 | ↑ +123% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,527.45 | ↑ +123% |
| AMERIHEALTH | LOCAL HMO | $1,554.05 | ↑ +127% |
| QUALCARE | WORKERS COMP | $1,581.36 | ↑ +131% |
| AETNA | HMO | $1,617.30 | ↑ +136% |
| AETNA | PPO | $1,617.30 | ↑ +136% |
| CIGNA | HMO | $1,718.47 | ↑ +151% |
| CIGNA | PPO | $1,718.47 | ↑ +151% |
| AMERIHEALTH | REGIONAL HMO | $1,760.16 | ↑ +157% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lymph vessel x-ray arm/leg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $319.65 | $61.20 – $1,351.36 |
| Community Medical Center | Toms River | $353.20 | $119.06 – $1,344.60 |
| Jersey City Medical Center | Jersey City | $353.88 | $79.20 – $1,448.92 |
| Bayshore Medical Center | Holmdel | $684.33 | $405.57 – $1,466.44 |
| Hackensack University Medical Center | Hackensack | $728.10 | $107.93 – $1,674.96 |
| Ocean University Medical Center | Brick | $675.68 | $405.57 – $769.07 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $618.26 – $1,553.10 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $405.57 – $769.07 |