Phlebotomy therapeutic 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.
$428.00
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.
$60.35 with AETNA vs $419.23 with AMERIHEALTH — 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 | $60.35 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $77.04 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.88 | ↓ -35% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $164.44 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $252.09 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $263.90 | ↑ +85% |
| HORIZON | OMNIA | $272.98 | ↑ +91% |
| HORIZON | WORKERS COMP | $301.31 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $303.88 | ↑ +113% |
| HORIZON - JRI@RMC | PIP | $304.99 | ↑ +114% |
| HORIZON - JRI@RMC | WORKERS COMP | $304.99 | ↑ +114% |
| BERGEN RISK | ALL PRODUCTS | $321.00 | ↑ +125% |
| HORIZON | SHP | $329.35 | ↑ +131% |
| QUALCARE | PPO | $332.56 | ↑ +133% |
| QUALCARE | HMO | $332.56 | ↑ +133% |
| AETNA | ASA | $335.12 | ↑ +135% |
| HORIZON | HMO | $337.65 | ↑ +137% |
| HORIZON | PIP | $337.69 | ↑ +137% |
| CIGNA | BH | $342.40 | ↑ +140% |
| HORIZON | INDEMNITY | $342.53 | ↑ +140% |
| HORIZON | PPO | $345.52 | ↑ +142% |
| UNITED HEALTHCARE | HMO | $347.32 | ↑ +143% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $363.80 | ↑ +155% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $363.80 | ↑ +155% |
| AMERIHEALTH | LOCAL HMO | $370.13 | ↑ +159% |
| QUALCARE | WORKERS COMP | $376.64 | ↑ +164% |
| AETNA | HMO | $385.20 | ↑ +170% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $385.20 | ↑ +170% |
| AETNA | PPO | $385.20 | ↑ +170% |
| CIGNA | HMO | $409.30 | ↑ +187% |
| CIGNA | PPO | $409.30 | ↑ +187% |
| AMERIHEALTH | REGIONAL HMO | $419.23 | ↑ +194% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $130.45 | $3.04 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $190.07 | $1.93 – $289.24 |
| Community Medical Center | Toms River | $144.14 | $1.93 – $280.33 |
| Clara Maass Medical Center | Belleville | $105.81 | $1.93 – $287.79 |
| Newark Beth Israel Medical Center | Newark | $186.84 | $1.93 – $289.24 |
| Jersey City Medical Center | Jersey City | $144.42 | $1.93 – $302.08 |
| Monmouth Medical Center | Long Branch | $152.06 | $1.93 – $283.91 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $171.21 |