#resp virpnl dfa-adenovirus at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$14.43
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.
$79.00
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.
$7.18 with HORIZON vs $77.38 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $7.18 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $11.14 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $14.43 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.43 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $14.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $14.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $14.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.15 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $15.73 | ↑ +9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17.22 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $17.32 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $18.80 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $29.62 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $29.62 | ↑ +105% |
| QUALCARE | HMO | $39.18 | ↑ +172% |
| HORIZON | OMNIA | $50.39 | ↑ +249% |
| AETNA | PPO | $54.35 | ↑ +277% |
| AETNA | HMO | $54.35 | ↑ +277% |
| HORIZON | WORKERS COMP | $55.62 | ↑ +285% |
| BERGEN RISK | ALL PRODUCTS | $59.25 | ↑ +311% |
| HORIZON | SHP | $60.79 | ↑ +321% |
| QUALCARE | PPO | $61.38 | ↑ +325% |
| AETNA | ASA | $61.86 | ↑ +329% |
| HORIZON | HMO | $62.32 | ↑ +332% |
| HORIZON | PIP | $62.33 | ↑ +332% |
| CIGNA | BH | $63.20 | ↑ +338% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $63.20 | ↑ +338% |
| HORIZON | INDEMNITY | $63.22 | ↑ +338% |
| HORIZON | PPO | $63.78 | ↑ +342% |
| CIGNA | HMO | $66.12 | ↑ +358% |
| CIGNA | PPO | $66.12 | ↑ +358% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $67.15 | ↑ +365% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $67.15 | ↑ +365% |
| AMERIHEALTH | LOCAL HMO | $68.32 | ↑ +373% |
| QUALCARE | WORKERS COMP | $69.52 | ↑ +382% |
| AMERIHEALTH | REGIONAL HMO | $77.38 | ↑ +436% |
Visitor-reported prices
Comments
#resp virpnl dfa-adenovirus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $15.87 | $6.78 – $58.76 |
| Cooperman Barnabas Medical Center | Livingston | $15.87 | $6.78 – $58.76 |
| Community Medical Center | Toms River | $15.87 | $6.78 – $58.76 |
| Clara Maass Medical Center | Belleville | $15.87 | $6.78 – $58.76 |
| Newark Beth Israel Medical Center | Newark | $15.87 | $6.78 – $58.76 |
| Jersey City Medical Center | Jersey City | $15.87 | $6.78 – $58.76 |
| Monmouth Medical Center | Long Branch | $15.87 | $6.78 – $58.76 |
| Bayshore Medical Center | Holmdel | $14.43 | $14.43 – $66.12 |