Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$208.92
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.
$1,386.00
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.
$68.14 with HORIZON vs $957.34 with CIGNA — 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 | $68.14 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $76.14 | ↓ -64% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.72 | ↓ -44% |
| AMERIGROUP | MANAGED MEDICAID | $208.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $208.92 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $208.92 | ↑ +0% |
| VACCN | ALL PRODUCTS | $208.92 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $208.92 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $208.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $219.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $227.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $250.70 | ↑ +20% |
| QUALCARE | HMO | $267.84 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $272.12 | ↑ +30% |
| HORIZON | OMNIA | $344.41 | ↑ +65% |
| AETNA | PPO | $371.52 | ↑ +78% |
| AETNA | HMO | $371.52 | ↑ +78% |
| HORIZON | WORKERS COMP | $380.16 | ↑ +82% |
| BERGEN RISK | ALL PRODUCTS | $405.00 | ↑ +94% |
| HORIZON | SHP | $415.53 | ↑ +99% |
| QUALCARE | PPO | $419.58 | ↑ +101% |
| AETNA | ASA | $422.82 | ↑ +102% |
| HORIZON | HMO | $426.01 | ↑ +104% |
| HORIZON | PIP | $426.06 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $428.81 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $428.81 | ↑ +105% |
| CIGNA | BH | $432.00 | ↑ +107% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $432.00 | ↑ +107% |
| HORIZON | INDEMNITY | $432.16 | ↑ +107% |
| HORIZON | PPO | $435.94 | ↑ +109% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $447.77 | ↑ +114% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $459.00 | ↑ +120% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $459.00 | ↑ +120% |
| AMERIHEALTH | LOCAL HMO | $466.99 | ↑ +124% |
| QUALCARE | WORKERS COMP | $475.20 | ↑ +127% |
| AMERIHEALTH | REGIONAL HMO | $528.93 | ↑ +153% |
| CIGNA | HMO | $957.34 | ↑ +358% |
| CIGNA | PPO | $957.34 | ↑ +358% |
Visitor-reported prices
Comments
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $229.81 | $98.19 – $851.87 |
| Cooperman Barnabas Medical Center | Livingston | $229.81 | $97.17 – $851.87 |
| Community Medical Center | Toms River | $229.81 | $97.17 – $851.87 |
| Clara Maass Medical Center | Belleville | $229.81 | $97.17 – $851.87 |
| Newark Beth Israel Medical Center | Newark | $229.81 | $97.17 – $851.87 |
| Jersey City Medical Center | Jersey City | $229.81 | $97.17 – $851.87 |
| Monmouth Medical Center | Long Branch | $229.81 | $97.17 – $851.87 |
| Bayshore Medical Center | Holmdel | $208.92 | $208.92 – $957.34 |