Oph Ultrasound dx quan a-scan only at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$117.70
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.
$362.00
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.
$51.04 with AETNA vs $325.80 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $51.04 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $65.16 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.55 | ↓ -33% |
| CIGNA | HMO | $80.05 | ↓ -32% |
| CIGNA | PPO | $80.05 | ↓ -32% |
| KARNA | MEDICARE ADVANTAGE | $103.71 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| AETNA | HMO | $136.58 | ↑ +16% |
| AETNA | PPO | $136.58 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $149.18 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $149.94 | ↑ +27% |
| AMERIHEALTH | REGIONAL HMO | $151.76 | ↑ +29% |
| HORIZON | OMNIA | $230.88 | ↑ +96% |
| HORIZON | WORKERS COMP | $254.85 | ↑ +117% |
| HORIZON | MANAGED MEDICAID | $257.02 | ↑ +118% |
| BERGEN RISK | ALL PRODUCTS | $271.50 | ↑ +131% |
| HORIZON | SHP | $278.56 | ↑ +137% |
| QUALCARE | PPO | $281.27 | ↑ +139% |
| QUALCARE | HMO | $281.27 | ↑ +139% |
| AETNA | ASA | $283.45 | ↑ +141% |
| HORIZON | HMO | $285.58 | ↑ +143% |
| HORIZON | PIP | $285.62 | ↑ +143% |
| CIGNA | BH | $289.60 | ↑ +146% |
| HORIZON | INDEMNITY | $289.71 | ↑ +146% |
| HORIZON | PPO | $292.24 | ↑ +148% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $307.70 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $307.70 | ↑ +161% |
| QUALCARE | WORKERS COMP | $318.56 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $325.80 | ↑ +177% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Oph Ultrasound dx quan a-scan only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $80.05 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $65.41 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $80.05 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $82.22 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $80.05 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $72.16 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $80.05 – $295.04 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $80.05 – $149.18 |