Mayo thiopurine s-methyltransferase at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$22.17
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.
$537.00
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.
$10.20 with HORIZON vs $525.99 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 | $10.20 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $22.17 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $22.17 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $22.17 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $22.17 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $22.17 | ↑ +0% |
| VACCN | ALL PRODUCTS | $22.17 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $23.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $24.17 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $26.60 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $28.88 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $34.83 | ↑ +57% |
| AETNA | MANAGED MEDICAID | $75.72 | ↑ +242% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.07 | ↑ +428% |
| QUALCARE | HMO | $266.35 | ↑ +1101% |
| UNITED HEALTHCARE | HMO | $290.52 | ↑ +1210% |
| OXFORD | ALL PRODUCTS | $290.52 | ↑ +1210% |
| HORIZON | OMNIA | $342.50 | ↑ +1445% |
| AETNA | HMO | $369.46 | ↑ +1566% |
| AETNA | PPO | $369.46 | ↑ +1566% |
| HORIZON | WORKERS COMP | $378.05 | ↑ +1605% |
| BERGEN RISK | ALL PRODUCTS | $402.75 | ↑ +1717% |
| HORIZON | SHP | $413.22 | ↑ +1764% |
| QUALCARE | PPO | $417.25 | ↑ +1782% |
| AETNA | ASA | $420.47 | ↑ +1797% |
| HORIZON | HMO | $423.64 | ↑ +1811% |
| HORIZON | PIP | $423.69 | ↑ +1811% |
| CIGNA | BH | $429.60 | ↑ +1838% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $429.60 | ↑ +1838% |
| HORIZON | INDEMNITY | $429.76 | ↑ +1838% |
| HORIZON | PPO | $433.52 | ↑ +1855% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $456.45 | ↑ +1959% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $456.45 | ↑ +1959% |
| AMERIHEALTH | LOCAL HMO | $464.40 | ↑ +1995% |
| QUALCARE | WORKERS COMP | $472.56 | ↑ +2032% |
| CIGNA | HMO | $513.53 | ↑ +2216% |
| CIGNA | PPO | $513.53 | ↑ +2216% |
| AMERIHEALTH | REGIONAL HMO | $525.99 | ↑ +2273% |
Visitor-reported prices
Comments
Mayo thiopurine s-methyltransferase at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $24.39 | $10.42 – $90.80 |
| Cooperman Barnabas Medical Center | Livingston | $24.39 | $10.42 – $90.80 |
| Community Medical Center | Toms River | $24.39 | $10.42 – $90.80 |
| Clara Maass Medical Center | Belleville | $24.39 | $10.42 – $90.80 |
| Newark Beth Israel Medical Center | Newark | $24.39 | $10.42 – $90.80 |
| Jersey City Medical Center | Jersey City | $24.39 | $10.42 – $90.80 |
| Monmouth Medical Center | Long Branch | $24.39 | $10.42 – $90.80 |
| Bayshore Medical Center | Holmdel | $22.17 | $22.17 – $45.50 |