Oth resp proc, group at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$43.44
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.
$385.00
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.
$23.46 with KARNA vs $525.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $23.46 | ↓ -46% |
| WELLCARE | MANAGED MEDICAID | $43.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $52.13 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $54.29 | ↑ +25% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↑ +60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $83.55 | ↑ +92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $226.77 | ↑ +422% |
| HORIZON | OMNIA | $245.55 | ↑ +465% |
| OXFORD | ALL PRODUCTS | $271.00 | ↑ +524% |
| HORIZON | WORKERS COMP | $271.04 | ↑ +524% |
| HORIZON | MANAGED MEDICAID | $273.35 | ↑ +529% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +565% |
| HORIZON | SHP | $296.26 | ↑ +582% |
| QUALCARE | PPO | $299.15 | ↑ +589% |
| QUALCARE | HMO | $299.15 | ↑ +589% |
| AETNA | ASA | $301.46 | ↑ +594% |
| HORIZON | HMO | $303.73 | ↑ +599% |
| HORIZON | PIP | $303.77 | ↑ +599% |
| CIGNA | BH | $308.00 | ↑ +609% |
| HORIZON | INDEMNITY | $308.12 | ↑ +609% |
| HORIZON | PPO | $310.81 | ↑ +615% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +653% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +653% |
| AMERIHEALTH | LOCAL HMO | $332.95 | ↑ +666% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +680% |
| AETNA | HMO | $346.50 | ↑ +698% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $346.50 | ↑ +698% |
| AETNA | PPO | $346.50 | ↑ +698% |
| CIGNA | HMO | $368.18 | ↑ +748% |
| CIGNA | PPO | $368.18 | ↑ +748% |
| AMERIHEALTH | REGIONAL HMO | $377.11 | ↑ +768% |
| UNITED HEALTHCARE | HMO | $525.00 | ↑ +1109% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Cooperman Barnabas Medical Center | Livingston | $90.26 | $44.04 – $88.08 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| Monmouth Medical Center | Long Branch | $67.39 | $43.44 – $326.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $23.46 – $604.00 |
| Palisades Medical Center | North Bergen | $46.22 | $24.81 – $444.00 |