Pericardiocentesis wwo imaging at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,719.44
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.
$5,253.00
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.
$469.47 with KARNA vs $11,920.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $469.47 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $740.67 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $945.54 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,139.90 | ↓ -34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -31% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,874.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| HORIZON | OMNIA | $3,350.36 | ↑ +95% |
| HORIZON | MANAGED MEDICAID | $3,729.63 | ↑ +117% |
| BERGEN RISK | ALL PRODUCTS | $3,939.75 | ↑ +129% |
| HORIZON | SHP | $4,042.18 | ↑ +135% |
| QUALCARE | HMO | $4,081.58 | ↑ +137% |
| QUALCARE | PPO | $4,081.58 | ↑ +137% |
| AETNA | ASA | $4,113.10 | ↑ +139% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +140% |
| HORIZON | HMO | $4,144.09 | ↑ +141% |
| HORIZON | PIP | $4,144.62 | ↑ +141% |
| CIGNA | BH | $4,202.40 | ↑ +144% |
| HORIZON | INDEMNITY | $4,203.98 | ↑ +144% |
| HORIZON | PPO | $4,240.75 | ↑ +147% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,465.05 | ↑ +160% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,465.05 | ↑ +160% |
| AMERIHEALTH | LOCAL HMO | $4,542.79 | ↑ +164% |
| QUALCARE | WORKERS COMP | $4,622.64 | ↑ +169% |
| CIGNA | PPO | $5,023.44 | ↑ +192% |
| CIGNA | HMO | $5,023.44 | ↑ +192% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +196% |
| AMERIHEALTH | REGIONAL HMO | $5,145.31 | ↑ +199% |
| AETNA | HMO | $8,419.00 | ↑ +390% |
| AETNA | PPO | $8,419.00 | ↑ +390% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +523% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +593% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pericardiocentesis wwo imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $115.50 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $218.42 – $3,485.68 |
| Community Medical Center | Toms River | $3,786.00 | $223.69 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $215.79 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $118.90 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $149.48 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $431.58 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |