Mycobacteria dna amp probe at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$48.24
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.
$788.00
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.
$22.86 with HORIZON vs $771.85 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 | $22.86 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $48.24 | ↑ +0% |
| VACCN | ALL PRODUCTS | $48.24 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $48.24 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $48.24 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $48.24 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $48.24 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $50.65 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $52.58 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $57.89 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $62.83 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $77.04 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $99.01 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $99.01 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $111.11 | ↑ +130% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $171.78 | ↑ +256% |
| CIGNA | HMO | $221.05 | ↑ +358% |
| CIGNA | PPO | $221.05 | ↑ +358% |
| QUALCARE | HMO | $390.85 | ↑ +710% |
| HORIZON | OMNIA | $502.59 | ↑ +942% |
| AETNA | HMO | $542.14 | ↑ +1024% |
| AETNA | PPO | $542.14 | ↑ +1024% |
| HORIZON | WORKERS COMP | $554.75 | ↑ +1050% |
| BERGEN RISK | ALL PRODUCTS | $591.00 | ↑ +1125% |
| HORIZON | SHP | $606.37 | ↑ +1157% |
| QUALCARE | PPO | $612.28 | ↑ +1169% |
| AETNA | ASA | $617.00 | ↑ +1179% |
| HORIZON | HMO | $621.65 | ↑ +1189% |
| HORIZON | PIP | $621.73 | ↑ +1189% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $630.40 | ↑ +1207% |
| CIGNA | BH | $630.40 | ↑ +1207% |
| HORIZON | INDEMNITY | $630.64 | ↑ +1207% |
| HORIZON | PPO | $636.15 | ↑ +1219% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $669.80 | ↑ +1288% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $669.80 | ↑ +1288% |
| AMERIHEALTH | LOCAL HMO | $681.46 | ↑ +1313% |
| QUALCARE | WORKERS COMP | $693.44 | ↑ +1337% |
| AMERIHEALTH | REGIONAL HMO | $771.85 | ↑ +1500% |
Visitor-reported prices
Comments
Mycobacteria dna amp probe at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $53.06 | $22.67 – $196.29 |
| Cooperman Barnabas Medical Center | Livingston | $53.06 | $22.67 – $196.29 |
| Community Medical Center | Toms River | $53.06 | $22.67 – $196.29 |
| Clara Maass Medical Center | Belleville | $53.06 | $22.67 – $196.29 |
| Newark Beth Israel Medical Center | Newark | $53.06 | $22.67 – $196.29 |
| Jersey City Medical Center | Jersey City | $53.06 | $22.67 – $196.29 |
| Monmouth Medical Center | Long Branch | $53.06 | $22.67 – $196.29 |
| Bayshore Medical Center | Holmdel | $48.24 | $48.24 – $221.05 |