Njx chemonucleolysis lmbr at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,161.44
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.
$3,166.00
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.
$446.41 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $446.41 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $569.88 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $687.02 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -45% |
| KARNA | MEDICARE ADVANTAGE | $1,204.72 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -12% |
| HORIZON | OMNIA | $2,019.27 | ↓ -7% |
| WELLCARE | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,161.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,161.44 | ↑ +0% |
| CIGNA | HMO | $2,250.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,269.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,355.97 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $2,374.50 | ↑ +10% |
| HORIZON | SHP | $2,436.24 | ↑ +13% |
| QUALCARE | PPO | $2,459.98 | ↑ +14% |
| AETNA | ASA | $2,478.98 | ↑ +15% |
| HORIZON | HMO | $2,497.66 | ↑ +16% |
| HORIZON | PIP | $2,497.97 | ↑ +16% |
| CIGNA | PPO | $2,522.00 | ↑ +17% |
| CIGNA | BH | $2,532.80 | ↑ +17% |
| HORIZON | INDEMNITY | $2,533.75 | ↑ +17% |
| HORIZON | PPO | $2,555.91 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $2,593.73 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,691.10 | ↑ +25% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,691.10 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $2,737.96 | ↑ +27% |
| QUALCARE | WORKERS COMP | $2,786.08 | ↑ +29% |
| AMERIHEALTH | REGIONAL HMO | $3,101.10 | ↑ +43% |
| QUALCARE | HMO | $6,256.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +283% |
| AETNA | HMO | $8,419.00 | ↑ +290% |
| AETNA | PPO | $8,419.00 | ↑ +290% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +360% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +376% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +396% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Njx chemonucleolysis lmbr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $296.40 – $4,268.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $495.28 – $4,381.70 |
| Community Medical Center | Toms River | $3,786.00 | $495.28 – $4,246.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $495.28 – $4,359.79 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $305.12 – $4,381.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $383.58 – $4,576.40 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $495.28 – $4,301.27 |
| Bayshore Medical Center | Holmdel | $2,161.44 | $2,161.44 – $2,593.73 |