Procainamide 100 mg/ml injection (wrapper) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$194.32
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.
$3,248.16
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.
$53.05 with CLOVER vs $1,465.65 with QUALCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $53.05 | ↓ -73% |
| AMERIHEALTH | LOCAL HMO | $85.73 | ↓ -56% |
| AMERIHEALTH | REGIONAL HMO | $93.78 | ↓ -52% |
| WELLCARE | MANAGED MEDICAID | $132.62 | ↓ -32% |
| WELLCARE | MEDICARE ADVANTAGE | $132.62 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $144.41 | ↓ -26% |
| CIGNA | HMO | $145.88 | ↓ -25% |
| CIGNA | PPO | $145.88 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $147.36 | ↓ -24% |
| AMERIGROUP | MANAGED MEDICAID | $147.36 | ↓ -24% |
| QUALCARE | WORKERS COMP | $151.78 | ↓ -22% |
| HORIZON | MANAGED MEDICAID | $165.17 | ↓ -15% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $173.58 | ↓ -11% |
| BERGEN RISK | ALL PRODUCTS | $176.83 | ↓ -9% |
| AETNA | HMO | $179.77 | ↓ -7% |
| AETNA | PPO | $179.77 | ↓ -7% |
| HORIZON | OMNIA | $187.97 | ↓ -3% |
| KARNA | MEDICARE ADVANTAGE | $190.58 | ↓ -2% |
| VACCN | ALL PRODUCTS | $194.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.04 | ↑ +5% |
| HORIZON | WORKERS COMP | $207.48 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $211.81 | ↑ +9% |
| HORIZON | SHP | $226.78 | ↑ +17% |
| AETNA | ASA | $230.76 | ↑ +19% |
| UNITED HEALTHCARE | HMO | $231.63 | ↑ +19% |
| OXFORD | ALL PRODUCTS | $231.63 | ↑ +19% |
| HORIZON | HMO | $232.50 | ↑ +20% |
| HORIZON | PIP | $232.53 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $233.18 | ↑ +20% |
| CIGNA | BH | $235.77 | ↑ +21% |
| HORIZON | INDEMNITY | $235.86 | ↑ +21% |
| HORIZON | PPO | $237.92 | ↑ +22% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $250.50 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $250.50 | ↑ +29% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $265.24 | ↑ +36% |
| QUALCARE | HMO | $1,331.90 | ↑ +585% |
| QUALCARE | PPO | $1,465.65 | ↑ +654% |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $194.32 | $97.94 – $231.63 |
| Jersey Shore University Medical Center | Neptune City | $194.32 | $165.17 – $233.18 |
| Palisades Medical Center | North Bergen | $546.07 | $165.17 – $211.81 |
| Raritan Bay Medical Center | Perth Amboy | $194.32 | $165.17 – $231.63 |
| Southern Ocean Medical Center | Manahawkin | $194.32 | $165.17 – $233.18 |
| Trinitas Regional Medical Center | Elizabeth | not published | $3.52 – $398.06 |
| Cooperman Barnabas Medical Center | Livingston | not published | $146.32 – $410.70 |
| Community Medical Center | Toms River | not published | $146.32 – $398.06 |