Remove eyelid lesions at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,072.04
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.
$2,627.00
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.
$269.90 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $269.90 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $370.41 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $472.86 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $570.06 | ↓ -47% |
| HORIZON | MANAGED MEDICAID | $1,018.00 | ↓ -5% |
| VACCN | ALL PRODUCTS | $1,072.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,072.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,072.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,072.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,125.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,168.52 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $1,286.45 | ↑ +20% |
| HORIZON | OMNIA | $1,675.50 | ↑ +56% |
| BERGEN RISK | ALL PRODUCTS | $1,970.25 | ↑ +84% |
| HORIZON | SHP | $2,021.48 | ↑ +89% |
| QUALCARE | PPO | $2,041.18 | ↑ +90% |
| AETNA | ASA | $2,056.94 | ↑ +92% |
| HORIZON | HMO | $2,072.44 | ↑ +93% |
| HORIZON | PIP | $2,072.70 | ↑ +93% |
| CIGNA | BH | $2,101.60 | ↑ +96% |
| HORIZON | INDEMNITY | $2,102.39 | ↑ +96% |
| HORIZON | PPO | $2,120.78 | ↑ +98% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,232.95 | ↑ +108% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,232.95 | ↑ +108% |
| CIGNA | HMO | $2,250.00 | ↑ +110% |
| AMERIHEALTH | LOCAL HMO | $2,271.83 | ↑ +112% |
| QUALCARE | WORKERS COMP | $2,311.76 | ↑ +116% |
| CIGNA | PPO | $2,522.00 | ↑ +135% |
| AMERIHEALTH | REGIONAL HMO | $2,573.15 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +478% |
| QUALCARE | HMO | $6,256.00 | ↑ +484% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +617% |
| AETNA | PPO | $8,419.00 | ↑ +685% |
| AETNA | HMO | $8,419.00 | ↑ +685% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +827% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +899% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove eyelid lesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $83.60 – $2,117.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $96.40 – $2,173.24 |
| Community Medical Center | Toms River | $3,786.00 | $98.72 – $2,106.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $95.23 – $2,162.37 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $86.06 – $2,173.24 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $104.53 – $2,269.81 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $190.47 – $2,133.36 |
| Bayshore Medical Center | Holmdel | $1,072.04 | $1,072.04 – $1,286.45 |