Pr egd flexible transoral w/placement percutaneous gastrostomy tube at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,099.70
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.
?
What you pay up front if you don't use insurance.
$3,428.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$406.19 with KARNA vs $10,715.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $406.19 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $483.35 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $617.04 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $743.88 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -36% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,099.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,099.70 | ↑ +0% |
| HORIZON | OMNIA | $2,186.38 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,204.69 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,288.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,519.64 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,571.00 | ↑ +22% |
| HORIZON | SHP | $2,637.85 | ↑ +26% |
| QUALCARE | PPO | $2,663.56 | ↑ +27% |
| AETNA | ASA | $2,684.12 | ↑ +28% |
| HORIZON | HMO | $2,704.35 | ↑ +29% |
| HORIZON | PIP | $2,704.69 | ↑ +29% |
| CIGNA | BH | $2,742.40 | ↑ +31% |
| HORIZON | INDEMNITY | $2,743.43 | ↑ +31% |
| HORIZON | PPO | $2,767.42 | ↑ +32% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,913.80 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,913.80 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $2,964.53 | ↑ +41% |
| QUALCARE | WORKERS COMP | $3,016.64 | ↑ +44% |
| CIGNA | HMO | $3,140.00 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $3,357.73 | ↑ +60% |
| CIGNA | PPO | $3,514.00 | ↑ +67% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +195% |
| QUALCARE | HMO | $6,256.00 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +266% |
| AETNA | PPO | $8,419.00 | ↑ +301% |
| AETNA | HMO | $8,419.00 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +373% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +410% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $99.94 – $4,146.36 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $2,128.27 – $4,256.54 |
| Community Medical Center | Toms River | $3,786.00 | $2,073.18 – $4,125.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $2,128.27 – $4,235.26 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $102.88 – $4,256.54 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $129.33 – $4,445.68 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $2,099.70 – $4,178.40 |
| Bayshore Medical Center | Holmdel | $2,099.70 | $2,099.70 – $2,519.64 |