Resect leg/ankle tum < 5 cm at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,167.89
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.
$6,932.00
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.
$977.41 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 | $977.41 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $1,247.76 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,504.24 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $1,534.00 | ↓ -52% |
| KARNA | MEDICARE ADVANTAGE | $2,105.08 | ↓ -34% |
| WELLCARE | MANAGED MEDICAID | $3,167.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,167.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,167.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,167.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,326.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,453.00 | ↑ +9% |
| CIGNA | HMO | $3,591.00 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $3,801.47 | ↑ +20% |
| CIGNA | PPO | $4,018.00 | ↑ +27% |
| HORIZON | OMNIA | $4,421.23 | ↑ +40% |
| BERGEN RISK | ALL PRODUCTS | $5,199.00 | ↑ +64% |
| HORIZON | SHP | $5,334.17 | ↑ +68% |
| QUALCARE | PPO | $5,386.16 | ↑ +70% |
| AETNA | ASA | $5,427.76 | ↑ +71% |
| HORIZON | HMO | $5,468.65 | ↑ +73% |
| HORIZON | PIP | $5,469.35 | ↑ +73% |
| CIGNA | BH | $5,545.60 | ↑ +75% |
| HORIZON | INDEMNITY | $5,547.68 | ↑ +75% |
| HORIZON | PPO | $5,596.20 | ↑ +77% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,892.20 | ↑ +86% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,892.20 | ↑ +86% |
| AMERIHEALTH | LOCAL HMO | $5,994.79 | ↑ +89% |
| QUALCARE | WORKERS COMP | $6,100.16 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $6,195.00 | ↑ +96% |
| QUALCARE | HMO | $6,256.00 | ↑ +97% |
| AMERIHEALTH | REGIONAL HMO | $6,789.89 | ↑ +114% |
| UNITED HEALTHCARE | HMO | $7,690.00 | ↑ +143% |
| AETNA | HMO | $8,419.00 | ↑ +166% |
| AETNA | PPO | $8,419.00 | ↑ +166% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +214% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +238% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Resect leg/ankle tum < 5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $517.92 – $6,255.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $653.53 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $669.27 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $645.65 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $533.15 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $670.24 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,291.30 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |