Nm imaging hepatobiliary system w/pharmacologic intervention at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$595.79
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.
$2,750.00
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.
$354.06 with AMERIHEALTH vs $2,475.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $354.06 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $360.18 | ↓ -40% |
| AETNA | MANAGED MEDICAID | $387.75 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↓ -17% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $596.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $737.05 | ↑ +24% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $758.82 | ↑ +27% |
| AETNA | PPO | $1,182.80 | ↑ +99% |
| AETNA | HMO | $1,182.80 | ↑ +99% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| CIGNA | HMO | $1,445.04 | ↑ +143% |
| CIGNA | PPO | $1,445.04 | ↑ +143% |
| HORIZON | OMNIA | $1,753.95 | ↑ +194% |
| HORIZON | WORKERS COMP | $1,936.00 | ↑ +225% |
| HORIZON | MANAGED MEDICAID | $1,952.50 | ↑ +228% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +246% |
| HORIZON | SHP | $2,116.13 | ↑ +255% |
| QUALCARE | HMO | $2,136.75 | ↑ +259% |
| QUALCARE | PPO | $2,136.75 | ↑ +259% |
| AETNA | ASA | $2,153.25 | ↑ +261% |
| HORIZON | HMO | $2,169.48 | ↑ +264% |
| HORIZON | PIP | $2,169.75 | ↑ +264% |
| CIGNA | BH | $2,200.00 | ↑ +269% |
| HORIZON | INDEMNITY | $2,200.83 | ↑ +269% |
| HORIZON | PPO | $2,220.08 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +292% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,337.50 | ↑ +292% |
| QUALCARE | WORKERS COMP | $2,420.00 | ↑ +306% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +315% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $699.55 | $208.53 – $1,857.03 |
| Cooperman Barnabas Medical Center | Livingston | $495.84 | $248.94 – $1,857.03 |
| Community Medical Center | Toms River | $772.97 | $248.94 – $1,857.03 |
| Clara Maass Medical Center | Belleville | $563.08 | $249.42 – $1,857.03 |
| Newark Beth Israel Medical Center | Newark | $487.42 | $214.66 – $1,857.03 |
| Jersey City Medical Center | Jersey City | $774.47 | $248.94 – $1,857.03 |
| Monmouth Medical Center | Long Branch | $815.46 | $248.94 – $1,857.03 |
| Bayshore Medical Center | Holmdel | $595.79 | $354.06 – $1,445.04 |