Removal of wrist prosthesis at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,771.43
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.
$6,041.00
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.
$851.78 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 | $851.78 | ↓ -52% |
| HORIZON | MANAGED MEDICAID | $1,018.00 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $1,087.38 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $1,135.49 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,310.90 | ↓ -26% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| CIGNA | HMO | $2,250.00 | ↑ +27% |
| CIGNA | PPO | $2,522.00 | ↑ +42% |
| HORIZON | OMNIA | $3,852.95 | ↑ +118% |
| BERGEN RISK | ALL PRODUCTS | $4,530.75 | ↑ +156% |
| HORIZON | SHP | $4,648.55 | ↑ +162% |
| QUALCARE | PPO | $4,693.86 | ↑ +165% |
| AETNA | ASA | $4,730.10 | ↑ +167% |
| HORIZON | HMO | $4,765.74 | ↑ +169% |
| HORIZON | PIP | $4,766.35 | ↑ +169% |
| CIGNA | BH | $4,832.80 | ↑ +173% |
| HORIZON | INDEMNITY | $4,834.61 | ↑ +173% |
| HORIZON | PPO | $4,876.90 | ↑ +175% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,134.85 | ↑ +190% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,134.85 | ↑ +190% |
| AMERIHEALTH | LOCAL HMO | $5,224.26 | ↑ +195% |
| QUALCARE | WORKERS COMP | $5,316.08 | ↑ +200% |
| AMERIHEALTH | REGIONAL HMO | $5,917.16 | ↑ +234% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +250% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +334% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +505% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of wrist prosthesis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $279.37 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $756.96 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $775.20 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $747.84 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $287.58 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $361.53 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,495.68 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |