MRI orbit fac&nck w IV cont at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$395.29
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.
$4,180.00
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.
$395.29 with HORIZON BCBS BRAVEN vs $5,610.00 with QUALCARE — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $477.40 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | $507.48 | ↑ +28% |
| AETNA | MANAGED MEDICAID | $589.38 | ↑ +49% |
| CIGNA | PPO | $629.39 | ↑ +59% |
| CIGNA | HMO | $629.39 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +64% |
| AETNA | HMO | $724.19 | ↑ +83% |
| AETNA | PPO | $724.19 | ↑ +83% |
| CLOVER | MEDICARE ADVANTAGE | $752.40 | ↑ +90% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +127% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $907.06 | ↑ +129% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $1,094.00 | ↑ +177% |
| AMERIHEALTH | REGIONAL HMO | $1,112.92 | ↑ +182% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +446% |
| HORIZON | OMNIA | $2,666.00 | ↑ +574% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,884.20 | ↑ +630% |
| HORIZON | WORKERS COMP | $2,942.72 | ↑ +644% |
| HORIZON | SHP | $3,216.51 | ↑ +714% |
| AETNA | ASA | $3,272.94 | ↑ +728% |
| HORIZON | HMO | $3,297.60 | ↑ +734% |
| HORIZON | PIP | $3,298.02 | ↑ +734% |
| CIGNA | BH | $3,344.00 | ↑ +746% |
| HORIZON | INDEMNITY | $3,345.25 | ↑ +746% |
| HORIZON | PPO | $3,374.51 | ↑ +754% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,553.00 | ↑ +799% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +996% |
| QUALCARE | PPO | $5,610.00 | ↑ +1319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI orbit fac&nck w IV cont at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $757.74 | $143.58 – $1,037.77 |
| Cooperman Barnabas Medical Center | Livingston | $855.44 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $837.27 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $711.66 | $326.00 – $2,072.00 |
| Childrens Specialized Hospital | Mountainside | $1,382.50 | $341.00 – $341.00 |
| Newark Beth Israel Medical Center | Newark | $840.90 | $147.80 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $838.88 | $185.80 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $883.29 | $326.00 – $2,072.00 |