Repair retinal detach cplx at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$5,711.08
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.
$7,734.00
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.
$1,090.49 with AETNA vs $19,690.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,090.49 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $1,392.12 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,678.28 | ↓ -71% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -58% |
| KARNA | MEDICARE ADVANTAGE | $2,722.90 | ↓ -52% |
| HORIZON | OMNIA | $4,932.75 | ↓ -14% |
| WELLCARE | MANAGED MEDICAID | $5,711.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,711.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,711.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,711.08 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $5,800.50 | ↑ +2% |
| HORIZON | SHP | $5,951.31 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,996.63 | ↑ +5% |
| QUALCARE | PPO | $6,009.32 | ↑ +5% |
| AETNA | ASA | $6,055.72 | ↑ +6% |
| HORIZON | HMO | $6,101.35 | ↑ +7% |
| HORIZON | PIP | $6,102.13 | ↑ +7% |
| CIGNA | BH | $6,187.20 | ↑ +8% |
| HORIZON | INDEMNITY | $6,189.52 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $6,225.07 | ↑ +9% |
| HORIZON | PPO | $6,243.66 | ↑ +9% |
| QUALCARE | HMO | $6,256.00 | ↑ +10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,573.90 | ↑ +15% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,573.90 | ↑ +15% |
| AMERIHEALTH | LOCAL HMO | $6,688.36 | ↑ +17% |
| QUALCARE | WORKERS COMP | $6,805.92 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $6,853.29 | ↑ +20% |
| CIGNA | HMO | $6,952.09 | ↑ +22% |
| CIGNA | PPO | $6,952.09 | ↑ +22% |
| AMERIHEALTH | REGIONAL HMO | $7,575.45 | ↑ +33% |
| AETNA | HMO | $8,419.00 | ↑ +47% |
| AETNA | PPO | $8,419.00 | ↑ +47% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +74% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $15,785.00 | ↑ +176% |
| UNITED HEALTHCARE | HMO | $19,690.00 | ↑ +245% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair retinal detach cplx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $669.93 – $11,277.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $5,788.78 – $11,577.56 |
| Community Medical Center | Toms River | $3,786.00 | $5,638.94 – $11,221.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $5,788.78 – $11,519.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $689.63 – $11,577.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $866.96 – $12,092.00 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $5,711.08 – $11,365.05 |
| Bayshore Medical Center | Holmdel | $5,711.08 | $5,711.08 – $6,853.29 |