Pt application of modality >=1 area ultrasound each 15 minutes at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$17.72
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.
$139.00
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.
$17.72 with AMERIGROUP vs $464.00 with OXFORD — 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $17.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.31 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $19.60 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $21.26 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.36 | ↑ +32% |
| CLOVER | MEDICARE ADVANTAGE | $25.02 | ↑ +41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $30.16 | ↑ +70% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $30.30 | ↑ +71% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +239% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $81.87 | ↑ +362% |
| HORIZON | OMNIA | $88.65 | ↑ +400% |
| HORIZON | WORKERS COMP | $97.86 | ↑ +452% |
| HORIZON - JRI@RMC | WORKERS COMP | $99.05 | ↑ +459% |
| HORIZON - JRI@RMC | PIP | $99.05 | ↑ +459% |
| AETNA | HMO | $101.09 | ↑ +470% |
| AETNA | PPO | $101.09 | ↑ +470% |
| HORIZON | SHP | $106.96 | ↑ +504% |
| QUALCARE | PPO | $108.00 | ↑ +509% |
| AETNA | ASA | $108.84 | ↑ +514% |
| HORIZON | HMO | $109.66 | ↑ +519% |
| HORIZON | PIP | $109.67 | ↑ +519% |
| CIGNA | BH | $111.20 | ↑ +528% |
| HORIZON | INDEMNITY | $111.24 | ↑ +528% |
| HORIZON | PPO | $112.21 | ↑ +533% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $118.15 | ↑ +567% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $118.15 | ↑ +567% |
| AMERIHEALTH | LOCAL HMO | $120.21 | ↑ +578% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $125.10 | ↑ +606% |
| CIGNA | HMO | $132.93 | ↑ +650% |
| CIGNA | PPO | $132.93 | ↑ +650% |
| AMERIHEALTH | REGIONAL HMO | $136.15 | ↑ +668% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +1164% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +1164% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +1469% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +1542% |
| QUALCARE | HMO | $306.00 | ↑ +1627% |
| UNITED HEALTHCARE | HMO | $382.00 | ↑ +2056% |
| OXFORD | ALL PRODUCTS | $464.00 | ↑ +2519% |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $57.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $17.72 | $17.72 – $447.00 |
| Hackensack University Medical Center | Hackensack | $17.72 | $14.18 – $406.00 |
| Ocean University Medical Center | Brick | $17.72 | $17.72 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.72 | $17.72 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $17.72 | $14.18 – $561.00 |
| Palisades Medical Center | North Bergen | $17.72 | $10.36 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $17.72 | $17.72 – $471.00 |