Perc d-e cor revasc chro sin at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$19,875.58
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.
$21,527.00
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.
$3,035.31 with AETNA vs $51,800.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $3,035.31 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $3,874.86 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,671.36 | ↓ -76% |
| HORIZON | OMNIA | $6,990.00 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,727.00 | ↓ -61% |
| HORIZON | SHP | $7,997.00 | ↓ -60% |
| AETNA | PPO | $8,419.00 | ↓ -58% |
| AETNA | HMO | $8,419.00 | ↓ -58% |
| HORIZON | HMO | $8,624.00 | ↓ -57% |
| HORIZON | INDEMNITY | $8,743.00 | ↓ -56% |
| HORIZON | PPO | $8,826.00 | ↓ -56% |
| HORIZON | WORKERS COMP | $10,715.00 | ↓ -46% |
| HORIZON | MANAGED MEDICAID | $15,284.17 | ↓ -23% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -21% |
| QUALCARE | HMO | $16,726.48 | ↓ -16% |
| QUALCARE | PPO | $16,726.48 | ↓ -16% |
| AETNA | ASA | $16,855.64 | ↓ -15% |
| HORIZON | PIP | $16,984.80 | ↓ -15% |
| CIGNA | BH | $17,221.60 | ↓ -13% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | ↓ -10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $18,297.95 | ↓ -8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $18,297.95 | ↓ -8% |
| QUALCARE | WORKERS COMP | $18,943.76 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,875.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,875.58 | ↑ +0% |
| CIGNA | HMO | $20,586.27 | ↑ +4% |
| CIGNA | PPO | $20,586.27 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,869.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,664.38 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $23,292.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $23,850.69 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $26,327.00 | ↑ +32% |
| OXFORD | ALL PRODUCTS | $51,346.00 | ↑ +158% |
| UNITED HEALTHCARE | HMO | $51,800.00 | ↑ +161% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Perc d-e cor revasc chro sin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $17,039.00 – $19,892.81 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $19,875.58 – $23,850.69 |
| Palisades Medical Center | North Bergen | $21,146.91 | $21,146.91 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $9,707.20 – $23,871.38 |
| Southern Ocean Medical Center | Manahawkin | $19,624.54 | $19,624.54 – $23,549.45 |
| Trinitas Regional Medical Center | Elizabeth | not published | $6,086.60 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | not published | $20,146.00 – $40,292.00 |
| Community Medical Center | Toms River | not published | $19,624.54 – $39,052.83 |