Pten gene dup/delet variant at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$300.00
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.
$2,475.00
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.
$40.30 with HORIZON vs $1,374.71 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $40.30 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $93.06 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $137.62 | ↓ -54% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $143.88 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $300.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $300.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $300.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $300.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $300.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $300.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $315.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $327.00 | ↑ +9% |
| QUALCARE | HMO | $327.36 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $360.00 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $390.75 | ↑ +30% |
| HORIZON | OMNIA | $420.95 | ↑ +40% |
| AETNA | PPO | $454.08 | ↑ +51% |
| AETNA | HMO | $454.08 | ↑ +51% |
| HORIZON | WORKERS COMP | $464.64 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $495.00 | ↑ +65% |
| HORIZON | SHP | $507.87 | ↑ +69% |
| QUALCARE | PPO | $512.82 | ↑ +71% |
| AETNA | ASA | $516.78 | ↑ +72% |
| HORIZON | HMO | $520.67 | ↑ +74% |
| HORIZON | PIP | $520.74 | ↑ +74% |
| CIGNA | BH | $528.00 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $528.00 | ↑ +76% |
| HORIZON | INDEMNITY | $528.20 | ↑ +76% |
| HORIZON | PPO | $532.82 | ↑ +78% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $561.00 | ↑ +87% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $561.00 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $570.77 | ↑ +90% |
| QUALCARE | WORKERS COMP | $580.80 | ↑ +94% |
| UNITED HEALTHCARE | HMO | $615.75 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $615.75 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $646.47 | ↑ +115% |
| CIGNA | HMO | $1,374.71 | ↑ +358% |
| CIGNA | PPO | $1,374.71 | ↑ +358% |
Visitor-reported prices
Comments
Pten gene dup/delet variant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $330.00 | $79.56 – $1,223.05 |
| Cooperman Barnabas Medical Center | Livingston | $330.00 | $57.47 – $1,223.05 |
| Community Medical Center | Toms River | $330.00 | $57.47 – $1,223.05 |
| Clara Maass Medical Center | Belleville | $330.00 | $57.47 – $1,223.05 |
| Newark Beth Israel Medical Center | Newark | $330.00 | $57.47 – $1,223.05 |
| Jersey City Medical Center | Jersey City | $330.00 | $57.47 – $1,223.05 |
| Monmouth Medical Center | Long Branch | $330.00 | $57.47 – $1,223.05 |
| Bayshore Medical Center | Holmdel | $300.00 | $137.62 – $1,374.71 |