Removal of inner eye lesion at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$607.22
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.
$1,667.00
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.
$235.05 with AETNA vs $10,715.00 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 | $235.05 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $300.06 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $361.74 | ↓ -40% |
| WELLCARE | MANAGED MEDICAID | $607.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $607.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $607.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $637.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $661.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $728.67 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $994.84 | ↑ +64% |
| HORIZON | OMNIA | $1,063.21 | ↑ +75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $1,250.25 | ↑ +106% |
| HORIZON | SHP | $1,282.76 | ↑ +111% |
| QUALCARE | PPO | $1,295.26 | ↑ +113% |
| AETNA | ASA | $1,305.26 | ↑ +115% |
| HORIZON | HMO | $1,315.10 | ↑ +117% |
| HORIZON | PIP | $1,315.26 | ↑ +117% |
| CIGNA | BH | $1,333.60 | ↑ +120% |
| HORIZON | INDEMNITY | $1,334.10 | ↑ +120% |
| HORIZON | PPO | $1,345.77 | ↑ +122% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,416.95 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,416.95 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $1,441.62 | ↑ +137% |
| QUALCARE | WORKERS COMP | $1,466.96 | ↑ +142% |
| AMERIHEALTH | REGIONAL HMO | $1,632.83 | ↑ +169% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +212% |
| CIGNA | HMO | $2,250.00 | ↑ +271% |
| CIGNA | PPO | $2,522.00 | ↑ +315% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +579% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +739% |
| QUALCARE | HMO | $6,256.00 | ↑ +930% |
| AETNA | PPO | $8,419.00 | ↑ +1286% |
| AETNA | HMO | $8,419.00 | ↑ +1286% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1536% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +1665% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of inner eye lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $270.90 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $277.55 – $1,230.98 |
| Community Medical Center | Toms River | $3,786.00 | $284.24 – $1,193.10 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $274.21 – $1,224.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $278.87 – $1,230.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $300.96 – $1,285.66 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $548.42 – $1,208.37 |
| Bayshore Medical Center | Holmdel | $607.22 | $607.22 – $728.67 |