Pul art balloon repr percut at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
not published by hospital
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.
$16,513.00
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.
$510.88 with KARNA vs $23,258.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $510.88 | — |
| AETNA | MANAGED MEDICAID | $2,328.33 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| CLOVER | MEDICARE ADVANTAGE | $2,972.34 | — |
| AETNA | MEDICARE ADVANTAGE | $3,467.73 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,583.32 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,599.83 | — |
| HORIZON | OMNIA | $6,990.00 | — |
| HORIZON | SHP | $7,997.00 | — |
| HORIZON | MANAGED MEDICAID | $8,618.00 | — |
| HORIZON | HMO | $8,624.00 | — |
| HORIZON | INDEMNITY | $8,743.00 | — |
| HORIZON | PPO | $8,826.00 | — |
| HORIZON | WORKERS COMP | $10,715.00 | — |
| BERGEN RISK | ALL PRODUCTS | $12,384.75 | — |
| QUALCARE | HMO | $12,830.60 | — |
| QUALCARE | PPO | $12,830.60 | — |
| AETNA | ASA | $12,929.68 | — |
| HORIZON | PIP | $13,028.76 | — |
| AETNA | PPO | $13,033.00 | — |
| AETNA | HMO | $13,033.00 | — |
| CIGNA | BH | $13,210.40 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $14,036.05 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,036.05 | — |
| AMERIHEALTH | LOCAL HMO | $14,280.44 | — |
| QUALCARE | WORKERS COMP | $14,531.44 | — |
| CIGNA | HMO | $15,791.38 | — |
| CIGNA | PPO | $15,791.38 | — |
| AMERIHEALTH | REGIONAL HMO | $16,174.48 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | — |
| OXFORD | ALL PRODUCTS | $18,636.00 | — |
| UNITED HEALTHCARE | HMO | $23,258.00 | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pul art balloon repr percut at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $776.18 | $301.76 – $301.76 |
| Clara Maass Medical Center | Belleville | $944.77 | $301.76 – $301.76 |
| Newark Beth Israel Medical Center | Newark | $763.00 | $160.93 – $301.76 |
| Jersey City Medical Center | Jersey City | $789.64 | $202.32 – $301.76 |
| Robert Wood Johnson University Hospital | New Brunswick | $781.31 | $10.07 – $301.76 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $802.75 | $165.53 – $301.76 |
| Trinitas Regional Medical Center | Elizabeth | not published | $156.34 – $4,260.62 |
| Community Medical Center | Toms River | not published | $301.76 – $301.76 |