Lysis intranasal synechia 30560 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$563.67
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.
$1,134.00
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.
$159.89 with AETNA vs $10,715.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $159.89 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $204.12 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $246.08 | ↓ -56% |
| KARNA | MEDICARE ADVANTAGE | $320.75 | ↓ -43% |
| WELLCARE | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $563.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $563.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $591.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $614.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $676.40 | ↑ +20% |
| HORIZON | OMNIA | $723.27 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $850.50 | ↑ +51% |
| HORIZON | SHP | $872.61 | ↑ +55% |
| QUALCARE | PPO | $881.12 | ↑ +56% |
| AETNA | ASA | $887.92 | ↑ +58% |
| HORIZON | HMO | $894.61 | ↑ +59% |
| HORIZON | PIP | $894.73 | ↑ +59% |
| CIGNA | BH | $907.20 | ↑ +61% |
| HORIZON | INDEMNITY | $907.54 | ↑ +61% |
| HORIZON | PPO | $915.48 | ↑ +62% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $963.90 | ↑ +71% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $963.90 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $980.68 | ↑ +74% |
| QUALCARE | WORKERS COMP | $997.92 | ↑ +77% |
| AMERIHEALTH | REGIONAL HMO | $1,110.75 | ↑ +97% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↑ +138% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +401% |
| CIGNA | HMO | $3,140.00 | ↑ +457% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +516% |
| CIGNA | PPO | $3,514.00 | ↑ +523% |
| QUALCARE | HMO | $6,256.00 | ↑ +1010% |
| AETNA | PPO | $8,419.00 | ↑ +1394% |
| AETNA | HMO | $8,419.00 | ↑ +1394% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1662% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +1801% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lysis intranasal synechia 30560 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $33.71 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $41.83 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $42.84 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.33 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $34.70 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $43.63 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $82.66 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |