Remove in/ex hem grp & fiss 46257 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,035.44
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.
?
What you pay up front if you don't use insurance.
$8,010.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$871.53 with KARNA vs $10,715.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $871.53 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $1,129.41 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $1,441.80 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $1,534.00 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,738.17 | ↓ -43% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,035.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,035.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,035.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,035.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,187.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,308.63 | ↑ +9% |
| CIGNA | HMO | $3,591.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $3,642.53 | ↑ +20% |
| CIGNA | PPO | $4,018.00 | ↑ +32% |
| HORIZON | OMNIA | $5,108.78 | ↑ +68% |
| BERGEN RISK | ALL PRODUCTS | $6,007.50 | ↑ +98% |
| HORIZON | SHP | $6,163.70 | ↑ +103% |
| QUALCARE | PPO | $6,223.77 | ↑ +105% |
| QUALCARE | HMO | $6,256.00 | ↑ +106% |
| AETNA | ASA | $6,271.83 | ↑ +107% |
| HORIZON | HMO | $6,319.09 | ↑ +108% |
| HORIZON | PIP | $6,319.89 | ↑ +108% |
| CIGNA | BH | $6,408.00 | ↑ +111% |
| HORIZON | INDEMNITY | $6,410.40 | ↑ +111% |
| HORIZON | PPO | $6,466.47 | ↑ +113% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,808.50 | ↑ +124% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,808.50 | ↑ +124% |
| AMERIHEALTH | LOCAL HMO | $6,927.05 | ↑ +128% |
| QUALCARE | WORKERS COMP | $7,048.80 | ↑ +132% |
| AMERIHEALTH | REGIONAL HMO | $7,845.80 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +172% |
| AETNA | HMO | $8,419.00 | ↑ +177% |
| AETNA | PPO | $8,419.00 | ↑ +177% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +227% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +239% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +253% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove in/ex hem grp & fiss 46257 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $214.42 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $270.58 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $277.10 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $267.32 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $220.73 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $277.49 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $534.64 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |