Rp loclzj tum spect w/ct 2 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,614.45
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.
$5,814.00
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.
$596.73 with AMERIHEALTH vs $5,232.60 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -63% |
| AMERIHEALTH | REGIONAL HMO | $607.05 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $819.77 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $1,046.52 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,261.64 | ↓ -22% |
| KARNA | MEDICARE ADVANTAGE | $1,521.37 | ↓ -6% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,589.69 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $1,614.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,614.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,614.45 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,614.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,695.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,759.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,937.35 | ↑ +20% |
| AETNA | HMO | $2,382.42 | ↑ +48% |
| AETNA | PPO | $2,382.42 | ↑ +48% |
| CIGNA | HMO | $3,000.01 | ↑ +86% |
| CIGNA | PPO | $3,000.01 | ↑ +86% |
| HORIZON | OMNIA | $3,708.17 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $4,008.02 | ↑ +148% |
| OXFORD | ALL PRODUCTS | $4,008.02 | ↑ +148% |
| HORIZON | WORKERS COMP | $4,093.06 | ↑ +154% |
| HORIZON | MANAGED MEDICAID | $4,127.94 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $4,360.50 | ↑ +170% |
| HORIZON | SHP | $4,473.87 | ↑ +177% |
| QUALCARE | PPO | $4,517.48 | ↑ +180% |
| QUALCARE | HMO | $4,517.48 | ↑ +180% |
| AETNA | ASA | $4,552.36 | ↑ +182% |
| HORIZON | HMO | $4,586.66 | ↑ +184% |
| HORIZON | PIP | $4,587.25 | ↑ +184% |
| CIGNA | BH | $4,651.20 | ↑ +188% |
| HORIZON | INDEMNITY | $4,652.94 | ↑ +188% |
| HORIZON | PPO | $4,693.64 | ↑ +191% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,941.90 | ↑ +206% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,941.90 | ↑ +206% |
| QUALCARE | WORKERS COMP | $5,116.32 | ↑ +217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,232.60 | ↑ +224% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rp loclzj tum spect w/ct 2 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $956.09 | $419.56 – $3,787.62 |
| Clara Maass Medical Center | Belleville | $1,487.77 | $420.38 – $3,787.62 |
| Newark Beth Israel Medical Center | Newark | $939.84 | $419.56 – $3,787.62 |
| Bayshore Medical Center | Holmdel | $1,614.45 | $596.73 – $4,008.02 |
| Hackensack University Medical Center | Hackensack | $1,717.72 | $598.21 – $4,577.95 |
| Ocean University Medical Center | Brick | $1,594.06 | $596.73 – $4,008.02 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,615.86 | $533.60 – $4,244.87 |
| Jersey Shore University Medical Center | Neptune City | $1,614.45 | $586.42 – $4,548.34 |