Removal devitalized tissue non-selective debridement without anesthesia per session at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$219.93
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.
$490.00
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.
$69.09 with AETNA vs $10,149.00 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 | $69.09 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $88.20 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $106.33 | ↓ -52% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $219.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $219.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $230.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $239.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $263.92 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $288.61 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $302.13 | ↑ +37% |
| HORIZON | MANAGED MEDICAID | $347.90 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $367.50 | ↑ +67% |
| QUALCARE | HMO | $380.73 | ↑ +73% |
| QUALCARE | PPO | $380.73 | ↑ +73% |
| AETNA | ASA | $383.67 | ↑ +74% |
| HORIZON | PIP | $386.61 | ↑ +76% |
| CIGNA | BH | $392.00 | ↑ +78% |
| UNITED HEALTHCARE | HMO | $397.64 | ↑ +81% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $416.50 | ↑ +89% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $416.50 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $423.75 | ↑ +93% |
| QUALCARE | WORKERS COMP | $431.20 | ↑ +96% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $441.00 | ↑ +101% |
| CIGNA | PPO | $468.59 | ↑ +113% |
| CIGNA | HMO | $468.59 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $479.96 | ↑ +118% |
| HORIZON | OMNIA | $6,351.00 | ↑ +2788% |
| HORIZON | SHP | $7,337.00 | ↑ +3236% |
| HORIZON | HMO | $7,841.00 | ↑ +3465% |
| HORIZON | INDEMNITY | $7,948.00 | ↑ +3514% |
| HORIZON | PPO | $8,024.00 | ↑ +3548% |
| AETNA | PPO | $8,419.00 | ↑ +3728% |
| AETNA | HMO | $8,419.00 | ↑ +3728% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +4515% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal devitalized tissue non-selective debridement without anesthesia per session at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $109.80 | $66.00 – $434.32 |
| Cooperman Barnabas Medical Center | Livingston | $100.44 | $64.45 – $445.86 |
| Community Medical Center | Toms River | $121.32 | $64.45 – $432.15 |
| Clara Maass Medical Center | Belleville | $110.78 | $37.00 – $443.63 |
| Childrens Specialized Hospital | Mountainside | $102.50 | $237.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $98.73 | $64.45 – $445.86 |
| Jersey City Medical Center | Jersey City | $121.56 | $64.45 – $465.66 |
| Monmouth Medical Center | Long Branch | $127.99 | $64.45 – $437.66 |