Myelography neck spine 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.
$2,694.00
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.
$78.40 with HORIZON vs $2,638.77 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 | $78.40 | ↓ -91% |
| AETNA | HMO | $148.54 | ↓ -83% |
| AETNA | PPO | $148.54 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $204.97 | ↓ -77% |
| CIGNA | HMO | $259.11 | ↓ -70% |
| CIGNA | PPO | $259.11 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $355.82 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $379.85 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $484.92 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $584.60 | ↓ -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 | $1,336.22 | ↑ +53% |
| HORIZON | OMNIA | $1,718.23 | ↑ +96% |
| HORIZON | WORKERS COMP | $1,896.58 | ↑ +117% |
| UNITED HEALTHCARE | HMO | $1,936.35 | ↑ +121% |
| OXFORD | ALL PRODUCTS | $1,936.35 | ↑ +121% |
| BERGEN RISK | ALL PRODUCTS | $2,020.50 | ↑ +131% |
| HORIZON | SHP | $2,073.03 | ↑ +137% |
| QUALCARE | PPO | $2,093.24 | ↑ +139% |
| AETNA | ASA | $2,109.40 | ↑ +141% |
| HORIZON | HMO | $2,125.30 | ↑ +143% |
| HORIZON | PIP | $2,125.57 | ↑ +143% |
| CIGNA | BH | $2,155.20 | ↑ +146% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,155.20 | ↑ +146% |
| HORIZON | INDEMNITY | $2,156.01 | ↑ +147% |
| HORIZON | PPO | $2,174.87 | ↑ +149% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,289.90 | ↑ +162% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,289.90 | ↑ +162% |
| AMERIHEALTH | LOCAL HMO | $2,329.77 | ↑ +166% |
| QUALCARE | WORKERS COMP | $2,370.72 | ↑ +171% |
| AMERIHEALTH | REGIONAL HMO | $2,638.77 | ↑ +202% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelography neck spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $442.40 | $58.00 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $458.97 | $91.84 – $1,772.76 |
| Community Medical Center | Toms River | $488.84 | $91.84 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $350.26 | $91.84 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $451.17 | $59.70 – $1,772.76 |
| Jersey City Medical Center | Jersey City | $489.78 | $75.06 – $1,851.54 |
| Monmouth Medical Center | Long Branch | $515.71 | $91.84 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $148.54 – $1,936.35 |