Ophth Ultrasound b & quant a at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$142.67
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.
$351.00
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.
$49.49 with AETNA vs $315.90 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 | $49.49 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $63.18 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $76.17 | ↓ -47% |
| CIGNA | HMO | $122.05 | ↓ -14% |
| CIGNA | PPO | $122.05 | ↓ -14% |
| KARNA | MEDICARE ADVANTAGE | $125.21 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.71 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| HORIZON | OMNIA | $223.87 | ↑ +57% |
| AETNA | HMO | $227.39 | ↑ +59% |
| AETNA | PPO | $227.39 | ↑ +59% |
| AMERIHEALTH | LOCAL HMO | $230.73 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $234.73 | ↑ +65% |
| HORIZON | WORKERS COMP | $247.10 | ↑ +73% |
| HORIZON | MANAGED MEDICAID | $249.21 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $263.25 | ↑ +85% |
| HORIZON | SHP | $270.09 | ↑ +89% |
| QUALCARE | PPO | $272.73 | ↑ +91% |
| QUALCARE | HMO | $272.73 | ↑ +91% |
| AETNA | ASA | $274.83 | ↑ +93% |
| HORIZON | HMO | $276.90 | ↑ +94% |
| HORIZON | PIP | $276.94 | ↑ +94% |
| CIGNA | BH | $280.80 | ↑ +97% |
| HORIZON | INDEMNITY | $280.91 | ↑ +97% |
| HORIZON | PPO | $283.36 | ↑ +99% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $298.35 | ↑ +109% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $298.35 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $303.10 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $303.10 | ↑ +112% |
| QUALCARE | WORKERS COMP | $308.88 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $315.90 | ↑ +121% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $122.05 – $303.10 |
| Hackensack University Medical Center | Hackensack | $151.80 | $119.60 – $346.21 |
| Ocean University Medical Center | Brick | $140.87 | $122.05 – $303.10 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $125.35 – $321.02 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $122.05 – $343.97 |
| Palisades Medical Center | North Bergen | $151.80 | $122.05 – $303.10 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $122.05 – $303.10 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $122.05 – $230.73 |