Nuclear exam of tear flow at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$444.77
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.
$1,252.00
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.
$61.60 with HORIZON vs $1,126.80 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $61.60 | ↓ -86% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $159.30 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $176.53 | ↓ -60% |
| AMERIHEALTH | LOCAL HMO | $220.79 | ↓ -50% |
| AMERIHEALTH | REGIONAL HMO | $224.61 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $225.36 | ↓ -49% |
| KARNA | MEDICARE ADVANTAGE | $244.83 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $271.68 | ↓ -39% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| AETNA | HMO | $448.63 | ↑ +1% |
| AETNA | PPO | $448.63 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| CIGNA | HMO | $595.65 | ↑ +34% |
| CIGNA | PPO | $595.65 | ↑ +34% |
| HORIZON | OMNIA | $798.53 | ↑ +80% |
| HORIZON | WORKERS COMP | $881.41 | ↑ +98% |
| BERGEN RISK | ALL PRODUCTS | $939.00 | ↑ +111% |
| HORIZON | SHP | $963.41 | ↑ +117% |
| QUALCARE | PPO | $972.80 | ↑ +119% |
| QUALCARE | HMO | $972.80 | ↑ +119% |
| AETNA | ASA | $980.32 | ↑ +120% |
| HORIZON | HMO | $987.70 | ↑ +122% |
| HORIZON | PIP | $987.83 | ↑ +122% |
| CIGNA | BH | $1,001.60 | ↑ +125% |
| HORIZON | INDEMNITY | $1,001.98 | ↑ +125% |
| HORIZON | PPO | $1,010.74 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,064.20 | ↑ +139% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,064.20 | ↑ +139% |
| QUALCARE | WORKERS COMP | $1,101.76 | ↑ +148% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,126.80 | ↑ +153% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear exam of tear flow at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $159.30 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $65.41 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $159.30 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $197.43 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $159.30 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $72.16 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $99.00 – $1,021.05 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $159.30 – $595.65 |