Revision of colostomy at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$4,052.18
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.
$8,281.00
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.
$1,167.62 with AETNA vs $14,048.00 with UNITED HEALTHCARE — 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 | $1,167.62 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $1,311.74 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,490.58 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $1,534.00 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,796.98 | ↓ -56% |
| CIGNA | HMO | $3,591.00 | ↓ -11% |
| CIGNA | PPO | $4,018.00 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,052.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,052.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,254.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,416.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,862.62 | ↑ +20% |
| HORIZON | OMNIA | $5,281.62 | ↑ +30% |
| BERGEN RISK | ALL PRODUCTS | $6,210.75 | ↑ +53% |
| QUALCARE | HMO | $6,256.00 | ↑ +54% |
| HORIZON | SHP | $6,372.23 | ↑ +57% |
| QUALCARE | PPO | $6,434.34 | ↑ +59% |
| AETNA | ASA | $6,484.02 | ↑ +60% |
| HORIZON | HMO | $6,532.88 | ↑ +61% |
| HORIZON | PIP | $6,533.71 | ↑ +61% |
| CIGNA | BH | $6,624.80 | ↑ +63% |
| HORIZON | INDEMNITY | $6,627.28 | ↑ +64% |
| HORIZON | PPO | $6,685.25 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,038.85 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,038.85 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $7,161.41 | ↑ +77% |
| QUALCARE | WORKERS COMP | $7,287.28 | ↑ +80% |
| AMERIHEALTH | REGIONAL HMO | $8,111.24 | ↑ +100% |
| AETNA | HMO | $8,419.00 | ↑ +108% |
| AETNA | PPO | $8,419.00 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +145% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +164% |
| OXFORD | ALL PRODUCTS | $11,277.00 | ↑ +178% |
| UNITED HEALTHCARE | HMO | $14,048.00 | ↑ +247% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Revision of colostomy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $64.55 – $8,002.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $55.78 – $8,214.64 |
| Community Medical Center | Toms River | $3,786.00 | $57.12 – $7,961.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $55.10 – $8,173.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $66.44 – $8,214.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $60.48 – $8,579.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $110.21 – $8,063.84 |
| Bayshore Medical Center | Holmdel | $4,052.18 | $4,052.18 – $4,862.62 |