Npsy tst eval phsy/qhp 1st hr at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$587.30
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.
$798.00
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.
$112.52 with AETNA vs $781.64 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $112.52 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $143.64 | ↓ -76% |
| KARNA | MEDICARE ADVANTAGE | $171.37 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.17 | ↓ -71% |
| OXFORD | ALL PRODUCTS | $399.00 | ↓ -32% |
| QUALCARE | HMO | $440.50 | ↓ -25% |
| QUALCARE | PPO | $440.50 | ↓ -25% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $470.02 | ↓ -20% |
| HORIZON | OMNIA | $508.96 | ↓ -13% |
| HORIZON | WORKERS COMP | $561.79 | ↓ -4% |
| HORIZON | MANAGED MEDICAID | $566.58 | ↓ -4% |
| UNITED HEALTHCARE | HMO | $577.00 | ↓ -2% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $598.50 | ↑ +2% |
| HORIZON | SHP | $614.06 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| AETNA | ASA | $624.83 | ↑ +6% |
| HORIZON | HMO | $629.54 | ↑ +7% |
| HORIZON | PIP | $629.62 | ↑ +7% |
| CIGNA | BH | $638.40 | ↑ +9% |
| HORIZON | INDEMNITY | $638.64 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| HORIZON | PPO | $644.23 | ↑ +10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $678.30 | ↑ +15% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $678.30 | ↑ +15% |
| AMERIHEALTH | LOCAL HMO | $690.11 | ↑ +18% |
| QUALCARE | WORKERS COMP | $702.24 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| AETNA | HMO | $718.20 | ↑ +22% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $718.20 | ↑ +22% |
| AETNA | PPO | $718.20 | ↑ +22% |
| CIGNA | PPO | $763.13 | ↑ +30% |
| CIGNA | HMO | $763.13 | ↑ +30% |
| AMERIHEALTH | REGIONAL HMO | $781.64 | ↑ +33% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp 1st hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $270.50 | $258.00 – $258.00 |
| Bayshore Medical Center | Holmdel | $587.30 | $393.00 – $640.16 |
| Hackensack University Medical Center | Hackensack | $624.87 | $175.80 – $1,673.00 |
| Ocean University Medical Center | Brick | $579.88 | $154.00 – $566.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $68.60 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $68.60 – $640.16 |
| Palisades Medical Center | North Bergen | $624.87 | $142.00 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $175.80 – $705.37 |