Mopath procedure level 5 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$274.83
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.
?
What you pay up front if you don't use insurance.
$3,988.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.70 with HORIZON vs $1,259.37 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $44.70 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $63.03 | ↓ -77% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.45 | ↓ -65% |
| QUALCARE | HMO | $221.71 | ↓ -19% |
| WELLCARE | MANAGED MEDICAID | $274.83 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $274.83 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $274.83 | ↑ +0% |
| VACCN | ALL PRODUCTS | $274.83 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $274.83 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $274.83 | ↑ +0% |
| HORIZON | OMNIA | $285.10 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $288.57 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $299.56 | ↑ +9% |
| AETNA | PPO | $307.54 | ↑ +12% |
| AETNA | HMO | $307.54 | ↑ +12% |
| HORIZON | WORKERS COMP | $314.69 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $329.80 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $335.25 | ↑ +22% |
| HORIZON | SHP | $343.97 | ↑ +25% |
| QUALCARE | PPO | $347.32 | ↑ +26% |
| AETNA | ASA | $350.00 | ↑ +27% |
| HORIZON | HMO | $352.64 | ↑ +28% |
| HORIZON | PIP | $352.68 | ↑ +28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $357.60 | ↑ +30% |
| CIGNA | BH | $357.60 | ↑ +30% |
| HORIZON | INDEMNITY | $357.73 | ↑ +30% |
| KARNA | MEDICARE ADVANTAGE | $357.97 | ↑ +30% |
| HORIZON | PPO | $360.86 | ↑ +31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $379.95 | ↑ +38% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $379.95 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $386.57 | ↑ +41% |
| QUALCARE | WORKERS COMP | $393.36 | ↑ +43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $431.76 | ↑ +57% |
| AMERIHEALTH | REGIONAL HMO | $437.84 | ↑ +59% |
| UNITED HEALTHCARE | HMO | $564.09 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $564.09 | ↑ +105% |
| CIGNA | HMO | $1,259.37 | ↑ +358% |
| CIGNA | PPO | $1,259.37 | ↑ +358% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $302.31 | $129.17 – $1,120.25 |
| Cooperman Barnabas Medical Center | Livingston | $302.31 | $129.17 – $1,120.25 |
| Community Medical Center | Toms River | $302.31 | $129.17 – $1,120.25 |
| Clara Maass Medical Center | Belleville | $302.31 | $129.17 – $1,120.25 |
| Newark Beth Israel Medical Center | Newark | $302.31 | $129.17 – $1,120.25 |
| Jersey City Medical Center | Jersey City | $302.31 | $129.17 – $1,120.25 |
| Monmouth Medical Center | Long Branch | $302.31 | $129.17 – $1,120.25 |
| Bayshore Medical Center | Holmdel | $274.83 | $274.83 – $1,259.37 |