Radphm lcl tumor plr sgl day at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$444.77
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.
$2,750.00
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.
$191.80 with HORIZON vs $2,475.00 with BRIGHTON HEALTH PLAN — 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 | $191.80 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $344.11 | ↓ -23% |
| AMERIHEALTH | REGIONAL HMO | $350.06 | ↓ -21% |
| AETNA | MANAGED MEDICAID | $387.75 | ↓ -13% |
| KARNA | MEDICARE ADVANTAGE | $429.77 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| AETNA | HMO | $465.61 | ↑ +5% |
| AETNA | PPO | $465.61 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $596.75 | ↑ +34% |
| CIGNA | HMO | $816.70 | ↑ +84% |
| CIGNA | PPO | $816.70 | ↑ +84% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +130% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +130% |
| HORIZON | OMNIA | $1,753.95 | ↑ +294% |
| HORIZON | WORKERS COMP | $1,936.00 | ↑ +335% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +364% |
| HORIZON | SHP | $2,116.13 | ↑ +376% |
| QUALCARE | PPO | $2,136.75 | ↑ +380% |
| QUALCARE | HMO | $2,136.75 | ↑ +380% |
| AETNA | ASA | $2,153.25 | ↑ +384% |
| HORIZON | HMO | $2,169.48 | ↑ +388% |
| HORIZON | PIP | $2,169.75 | ↑ +388% |
| CIGNA | BH | $2,200.00 | ↑ +395% |
| HORIZON | INDEMNITY | $2,200.83 | ↑ +395% |
| HORIZON | PPO | $2,220.08 | ↑ +399% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +426% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,337.50 | ↑ +426% |
| QUALCARE | WORKERS COMP | $2,420.00 | ↑ +444% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +456% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |