Macroscopic exam parasite at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$4.31
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.
$50.00
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.
$2.78 with HORIZON vs $43.10 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 | $2.78 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4.31 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $4.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $4.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $5.61 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $6.20 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $8.85 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $8.85 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.36 | ↑ +117% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9.59 | ↑ +123% |
| CIGNA | HMO | $19.75 | ↑ +358% |
| CIGNA | PPO | $19.75 | ↑ +358% |
| QUALCARE | HMO | $21.82 | ↑ +406% |
| HORIZON | OMNIA | $28.06 | ↑ +551% |
| AETNA | HMO | $30.27 | ↑ +602% |
| AETNA | PPO | $30.27 | ↑ +602% |
| HORIZON | WORKERS COMP | $30.98 | ↑ +619% |
| BERGEN RISK | ALL PRODUCTS | $33.00 | ↑ +666% |
| HORIZON | SHP | $33.86 | ↑ +686% |
| QUALCARE | PPO | $34.19 | ↑ +693% |
| AETNA | ASA | $34.45 | ↑ +699% |
| HORIZON | HMO | $34.71 | ↑ +705% |
| HORIZON | PIP | $34.72 | ↑ +706% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35.20 | ↑ +717% |
| CIGNA | BH | $35.20 | ↑ +717% |
| HORIZON | INDEMNITY | $35.21 | ↑ +717% |
| HORIZON | PPO | $35.52 | ↑ +724% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $37.40 | ↑ +768% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $37.40 | ↑ +768% |
| AMERIHEALTH | LOCAL HMO | $38.05 | ↑ +783% |
| QUALCARE | WORKERS COMP | $38.72 | ↑ +798% |
| AMERIHEALTH | REGIONAL HMO | $43.10 | ↑ +900% |
Visitor-reported prices
Comments
Macroscopic exam parasite at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4.74 | $2.03 – $21.30 |
| Cooperman Barnabas Medical Center | Livingston | $4.74 | $2.03 – $17.35 |
| Community Medical Center | Toms River | $4.74 | $2.03 – $17.35 |
| Clara Maass Medical Center | Belleville | $4.74 | $2.03 – $17.35 |
| Newark Beth Israel Medical Center | Newark | $4.74 | $2.03 – $17.35 |
| Jersey City Medical Center | Jersey City | $4.74 | $2.03 – $17.35 |
| Monmouth Medical Center | Long Branch | $4.74 | $2.03 – $17.35 |
| Bayshore Medical Center | Holmdel | $4.31 | $4.31 – $19.75 |