Nasal endoscopy dx uni/bi separate proc at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$214.89
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.
$430.00
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.
$0.01 with CIGNA vs $10,715.00 with HORIZON — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $60.63 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $77.40 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $93.31 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $132.72 | ↓ -38% |
| VACCN | ALL PRODUCTS | $214.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $214.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $214.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $214.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $225.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $234.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $257.86 | ↑ +20% |
| HORIZON | OMNIA | $274.25 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $322.50 | ↑ +50% |
| HORIZON | SHP | $330.89 | ↑ +54% |
| QUALCARE | PPO | $334.11 | ↑ +55% |
| AETNA | ASA | $336.69 | ↑ +57% |
| HORIZON | HMO | $339.23 | ↑ +58% |
| HORIZON | PIP | $339.27 | ↑ +58% |
| CIGNA | BH | $344.00 | ↑ +60% |
| HORIZON | INDEMNITY | $344.13 | ↑ +60% |
| HORIZON | PPO | $347.14 | ↑ +62% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $365.50 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $365.50 | ↑ +70% |
| AMERIHEALTH | LOCAL HMO | $371.86 | ↑ +73% |
| QUALCARE | WORKERS COMP | $378.40 | ↑ +76% |
| AMERIHEALTH | REGIONAL HMO | $421.19 | ↑ +96% |
| HORIZON | MANAGED MEDICAID | $1,018.00 | ↑ +374% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +453% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +1215% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +1516% |
| QUALCARE | HMO | $6,256.00 | ↑ +2811% |
| AETNA | HMO | $8,419.00 | ↑ +3818% |
| AETNA | PPO | $8,419.00 | ↑ +3818% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4522% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +4886% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $51.51 – $422.22 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $49.69 – $433.44 |
| Bayshore Medical Center | Holmdel | $214.89 | $214.89 – $257.86 |
| Hackensack University Medical Center | Hackensack | $228.63 | $136.75 – $240.06 |
| Ocean University Medical Center | Brick | $212.17 | $132.72 – $254.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $215.07 | $60.60 – $215.07 |
| Jersey Shore University Medical Center | Neptune City | $214.89 | $132.72 – $257.86 |
| Palisades Medical Center | North Bergen | $228.63 | $136.75 – $249.21 |