M/phmtrc alys ishquant/semiq at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$189.67
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.
$798.00
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.
$112.52 with AETNA vs $781.64 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $112.52 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.17 | ↓ -9% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $275.47 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| QUALCARE | HMO | $395.81 | ↑ +109% |
| HORIZON | OMNIA | $508.96 | ↑ +168% |
| AETNA | PPO | $549.02 | ↑ +189% |
| AETNA | HMO | $549.02 | ↑ +189% |
| HORIZON | WORKERS COMP | $561.79 | ↑ +196% |
| HORIZON | MANAGED MEDICAID | $566.58 | ↑ +199% |
| BERGEN RISK | ALL PRODUCTS | $598.50 | ↑ +216% |
| HORIZON | SHP | $614.06 | ↑ +224% |
| QUALCARE | PPO | $620.05 | ↑ +227% |
| AETNA | ASA | $624.83 | ↑ +229% |
| HORIZON | HMO | $629.54 | ↑ +232% |
| HORIZON | PIP | $629.62 | ↑ +232% |
| CIGNA | BH | $638.40 | ↑ +237% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $638.40 | ↑ +237% |
| HORIZON | INDEMNITY | $638.64 | ↑ +237% |
| HORIZON | PPO | $644.23 | ↑ +240% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $678.30 | ↑ +258% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $678.30 | ↑ +258% |
| AMERIHEALTH | LOCAL HMO | $690.11 | ↑ +264% |
| QUALCARE | WORKERS COMP | $702.24 | ↑ +270% |
| KARNA | MEDICARE ADVANTAGE | $730.44 | ↑ +285% |
| CIGNA | PPO | $763.13 | ↑ +302% |
| CIGNA | HMO | $763.13 | ↑ +302% |
| AMERIHEALTH | REGIONAL HMO | $781.64 | ↑ +312% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $234.43 | $73.91 – $1,336.07 |
| Cooperman Barnabas Medical Center | Livingston | $153.20 | $73.91 – $1,336.07 |
| Community Medical Center | Toms River | $259.04 | $73.91 – $1,336.07 |
| Clara Maass Medical Center | Belleville | $162.50 | $73.91 – $1,336.07 |
| Newark Beth Israel Medical Center | Newark | $150.60 | $73.91 – $1,336.07 |
| Jersey City Medical Center | Jersey City | $259.54 | $73.91 – $1,336.07 |
| Monmouth Medical Center | Long Branch | $273.28 | $73.91 – $1,336.07 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $306.15 |