Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$16.07
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.
$113.00
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.
$15.93 with AETNA vs $110.68 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 | $15.93 | ↓ -1% |
| CLOVER | MEDICARE ADVANTAGE | $16.07 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $16.07 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $16.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $16.07 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $16.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $16.87 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $17.48 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $17.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $19.28 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $20.93 | ↑ +30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $24.63 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $32.98 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $32.98 | ↑ +105% |
| QUALCARE | HMO | $56.05 | ↑ +249% |
| HORIZON | OMNIA | $72.07 | ↑ +348% |
| CIGNA | HMO | $73.64 | ↑ +358% |
| CIGNA | PPO | $73.64 | ↑ +358% |
| AETNA | HMO | $77.74 | ↑ +384% |
| AETNA | PPO | $77.74 | ↑ +384% |
| HORIZON | WORKERS COMP | $79.55 | ↑ +395% |
| BERGEN RISK | ALL PRODUCTS | $84.75 | ↑ +427% |
| HORIZON | SHP | $86.95 | ↑ +441% |
| QUALCARE | PPO | $87.80 | ↑ +446% |
| AETNA | ASA | $88.48 | ↑ +451% |
| HORIZON | HMO | $89.15 | ↑ +455% |
| HORIZON | PIP | $89.16 | ↑ +455% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $90.40 | ↑ +463% |
| CIGNA | BH | $90.40 | ↑ +463% |
| HORIZON | INDEMNITY | $90.43 | ↑ +463% |
| HORIZON | PPO | $91.22 | ↑ +468% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $96.05 | ↑ +498% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $96.05 | ↑ +498% |
| AMERIHEALTH | LOCAL HMO | $97.72 | ↑ +508% |
| QUALCARE | WORKERS COMP | $99.44 | ↑ +519% |
| AMERIHEALTH | REGIONAL HMO | $110.68 | ↑ +589% |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $17.68 | $7.55 – $65.43 |
| Cooperman Barnabas Medical Center | Livingston | $17.68 | $7.55 – $65.43 |
| Community Medical Center | Toms River | $17.68 | $7.55 – $65.43 |
| Clara Maass Medical Center | Belleville | $17.68 | $7.55 – $65.43 |
| Newark Beth Israel Medical Center | Newark | $17.68 | $7.55 – $65.43 |
| Jersey City Medical Center | Jersey City | $17.68 | $7.55 – $65.43 |
| Monmouth Medical Center | Long Branch | $17.68 | $7.55 – $65.43 |
| Bayshore Medical Center | Holmdel | $16.07 | $16.07 – $73.64 |