Myelogphy 2/> spine regions at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$874.49
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.
$2,709.00
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.
$117.60 with HORIZON vs $2,653.47 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 | $117.60 | ↓ -87% |
| AETNA | HMO | $168.50 | ↓ -81% |
| AETNA | PPO | $168.50 | ↓ -81% |
| KARNA | MEDICARE ADVANTAGE | $279.09 | ↓ -68% |
| CIGNA | HMO | $299.87 | ↓ -66% |
| CIGNA | PPO | $299.87 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $381.97 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $457.48 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $487.62 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $587.85 | ↓ -33% |
| VACCN | ALL PRODUCTS | $874.49 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $874.49 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $918.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $953.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,049.38 | ↑ +20% |
| QUALCARE | HMO | $1,343.66 | ↑ +54% |
| HORIZON | OMNIA | $1,727.80 | ↑ +98% |
| HORIZON | WORKERS COMP | $1,907.14 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $1,936.35 | ↑ +121% |
| OXFORD | ALL PRODUCTS | $1,936.35 | ↑ +121% |
| BERGEN RISK | ALL PRODUCTS | $2,031.75 | ↑ +132% |
| HORIZON | SHP | $2,084.58 | ↑ +138% |
| QUALCARE | PPO | $2,104.89 | ↑ +141% |
| AETNA | ASA | $2,121.15 | ↑ +143% |
| HORIZON | HMO | $2,137.13 | ↑ +144% |
| HORIZON | PIP | $2,137.40 | ↑ +144% |
| CIGNA | BH | $2,167.20 | ↑ +148% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,167.20 | ↑ +148% |
| HORIZON | INDEMNITY | $2,168.01 | ↑ +148% |
| HORIZON | PPO | $2,186.98 | ↑ +150% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,302.65 | ↑ +163% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,302.65 | ↑ +163% |
| AMERIHEALTH | LOCAL HMO | $2,342.74 | ↑ +168% |
| QUALCARE | WORKERS COMP | $2,383.92 | ↑ +173% |
| AMERIHEALTH | REGIONAL HMO | $2,653.47 | ↑ +203% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelogphy 2/> spine regions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $520.49 | $78.96 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $587.59 | $137.76 – $1,772.76 |
| Community Medical Center | Toms River | $575.12 | $137.76 – $1,718.25 |
| Newark Beth Israel Medical Center | Newark | $577.61 | $81.28 – $1,772.76 |
| Monmouth Medical Center | Long Branch | $606.73 | $137.76 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $168.50 – $1,936.35 |
| Hackensack University Medical Center | Hackensack | $930.42 | $124.88 – $2,211.69 |
| Ocean University Medical Center | Brick | $863.44 | $168.50 – $863.44 |