Remove epididymis lesion at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2,267.41
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.
$4,568.00
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.
$644.09 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 | $644.09 | ↓ -72% |
| KARNA | MEDICARE ADVANTAGE | $668.50 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $822.24 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $959.28 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $991.26 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $995.82 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -17% |
| VACCN | ALL PRODUCTS | $2,267.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,267.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,380.78 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $2,720.90 | ↑ +20% |
| HORIZON | OMNIA | $2,913.47 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $3,426.00 | ↑ +51% |
| HORIZON | SHP | $3,515.08 | ↑ +55% |
| QUALCARE | PPO | $3,549.34 | ↑ +57% |
| AETNA | ASA | $3,576.74 | ↑ +58% |
| HORIZON | HMO | $3,603.70 | ↑ +59% |
| HORIZON | PIP | $3,604.15 | ↑ +59% |
| CIGNA | BH | $3,654.40 | ↑ +61% |
| HORIZON | INDEMNITY | $3,655.77 | ↑ +61% |
| HORIZON | PPO | $3,687.75 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,882.80 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,882.80 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $3,950.41 | ↑ +74% |
| QUALCARE | WORKERS COMP | $4,019.84 | ↑ +77% |
| CIGNA | HMO | $4,418.00 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $4,474.36 | ↑ +97% |
| CIGNA | PPO | $4,950.00 | ↑ +118% |
| QUALCARE | HMO | $6,256.00 | ↑ +176% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +265% |
| AETNA | PPO | $8,419.00 | ↑ +271% |
| AETNA | HMO | $8,419.00 | ↑ +271% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +338% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +354% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +373% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove epididymis lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $164.48 – $4,477.56 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $228.07 – $4,596.52 |
| Community Medical Center | Toms River | $3,786.00 | $233.56 – $4,455.17 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $225.32 – $4,573.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $169.31 – $4,596.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $212.85 – $4,800.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $450.64 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |