Removal of lens lesion at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,524.45
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.
$7,643.00
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.
$1,077.66 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 | $1,077.66 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $1,375.74 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $1,462.51 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,658.53 | ↓ -34% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -25% |
| WELLCARE | MANAGED MEDICAID | $2,524.45 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,524.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,650.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,751.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,029.34 | ↑ +20% |
| CIGNA | HMO | $4,418.00 | ↑ +75% |
| HORIZON | OMNIA | $4,874.71 | ↑ +93% |
| CIGNA | PPO | $4,950.00 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $5,732.25 | ↑ +127% |
| HORIZON | SHP | $5,881.29 | ↑ +133% |
| QUALCARE | PPO | $5,938.61 | ↑ +135% |
| AETNA | ASA | $5,984.47 | ↑ +137% |
| HORIZON | HMO | $6,029.56 | ↑ +139% |
| HORIZON | PIP | $6,030.33 | ↑ +139% |
| CIGNA | BH | $6,114.40 | ↑ +142% |
| HORIZON | INDEMNITY | $6,116.69 | ↑ +142% |
| HORIZON | PPO | $6,170.19 | ↑ +144% |
| QUALCARE | HMO | $6,256.00 | ↑ +148% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,496.55 | ↑ +157% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,496.55 | ↑ +157% |
| AMERIHEALTH | LOCAL HMO | $6,609.67 | ↑ +162% |
| QUALCARE | WORKERS COMP | $6,725.84 | ↑ +166% |
| AMERIHEALTH | REGIONAL HMO | $7,486.32 | ↑ +197% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +228% |
| AETNA | HMO | $8,419.00 | ↑ +233% |
| AETNA | PPO | $8,419.00 | ↑ +233% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +293% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +307% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +324% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of lens lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $359.83 – $4,985.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $350.92 – $5,117.60 |
| Community Medical Center | Toms River | $3,786.00 | $359.38 – $4,960.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $346.70 – $5,092.01 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $370.41 – $5,117.60 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $380.52 – $5,344.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $693.39 – $5,023.66 |
| Bayshore Medical Center | Holmdel | $2,524.45 | $2,524.45 – $3,029.34 |