Proph rta dtchmnt crtx dthrm at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$330.87
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.
$825.00
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.
$116.33 with AETNA vs $10,715.00 with HORIZON — 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 | $116.33 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $148.50 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $179.03 | ↓ -46% |
| WELLCARE | MANAGED MEDICAID | $330.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $330.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $347.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $360.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $397.05 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $449.08 | ↑ +36% |
| HORIZON | OMNIA | $526.19 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $618.75 | ↑ +87% |
| HORIZON | SHP | $634.84 | ↑ +92% |
| QUALCARE | PPO | $641.03 | ↑ +94% |
| AETNA | ASA | $645.98 | ↑ +95% |
| HORIZON | HMO | $650.84 | ↑ +97% |
| HORIZON | PIP | $650.93 | ↑ +97% |
| CIGNA | BH | $660.00 | ↑ +99% |
| HORIZON | INDEMNITY | $660.25 | ↑ +100% |
| HORIZON | PPO | $666.02 | ↑ +101% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $701.25 | ↑ +112% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $701.25 | ↑ +112% |
| AMERIHEALTH | LOCAL HMO | $713.46 | ↑ +116% |
| QUALCARE | WORKERS COMP | $726.00 | ↑ +119% |
| AMERIHEALTH | REGIONAL HMO | $808.09 | ↑ +144% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +259% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↑ +305% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +754% |
| CIGNA | HMO | $3,140.00 | ↑ +849% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +950% |
| CIGNA | PPO | $3,514.00 | ↑ +962% |
| QUALCARE | HMO | $6,256.00 | ↑ +1791% |
| AETNA | PPO | $8,419.00 | ↑ +2445% |
| AETNA | HMO | $8,419.00 | ↑ +2445% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2902% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +3138% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Proph rta dtchmnt crtx dthrm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $326.69 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $335.38 – $667.41 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $142.82 – $670.76 |
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $281.63 – $468.02 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $449.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $298.93 – $468.02 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $330.87 – $449.08 |