Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,793.38
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.
$2,946.00
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.
$172.38 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 | $172.38 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $415.39 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $530.28 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $639.28 | ↓ -64% |
| HORIZON | MANAGED MEDICAID | $1,018.00 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -34% |
| VACCN | ALL PRODUCTS | $1,793.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,793.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| HORIZON | OMNIA | $1,878.96 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,883.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,954.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,152.05 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,209.50 | ↑ +23% |
| CIGNA | HMO | $2,250.00 | ↑ +25% |
| HORIZON | SHP | $2,266.95 | ↑ +26% |
| QUALCARE | PPO | $2,289.04 | ↑ +28% |
| AETNA | ASA | $2,306.72 | ↑ +29% |
| HORIZON | HMO | $2,324.10 | ↑ +30% |
| HORIZON | PIP | $2,324.39 | ↑ +30% |
| CIGNA | BH | $2,356.80 | ↑ +31% |
| HORIZON | INDEMNITY | $2,357.68 | ↑ +31% |
| HORIZON | PPO | $2,378.31 | ↑ +33% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,504.10 | ↑ +40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,504.10 | ↑ +40% |
| CIGNA | PPO | $2,522.00 | ↑ +41% |
| AMERIHEALTH | LOCAL HMO | $2,547.70 | ↑ +42% |
| QUALCARE | WORKERS COMP | $2,592.48 | ↑ +45% |
| AMERIHEALTH | REGIONAL HMO | $2,885.61 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +184% |
| QUALCARE | HMO | $6,256.00 | ↑ +249% |
| AETNA | PPO | $8,419.00 | ↑ +369% |
| AETNA | HMO | $8,419.00 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +454% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +497% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $65.92 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $114.34 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $117.10 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $112.96 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $67.86 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $85.31 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $225.93 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |