Shoulder prosthesis removal at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
not published by hospital
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.
$7,150.00
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.
$1,008.15 with AETNA vs $10,715.00 with HORIZON — 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 | $1,008.15 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | — |
| CLOVER | MEDICARE ADVANTAGE | $1,287.00 | — |
| AETNA | MEDICARE ADVANTAGE | $1,501.50 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,551.55 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,558.70 | — |
| HORIZON | MANAGED MEDICAID | $1,892.00 | — |
| KARNA | MEDICARE ADVANTAGE | $2,634.78 | — |
| HORIZON | OMNIA | $4,560.27 | — |
| BERGEN RISK | ALL PRODUCTS | $5,362.50 | — |
| HORIZON | SHP | $5,501.93 | — |
| QUALCARE | PPO | $5,555.55 | — |
| AETNA | ASA | $5,598.45 | — |
| HORIZON | HMO | $5,640.64 | — |
| HORIZON | PIP | $5,641.35 | — |
| CIGNA | BH | $5,720.00 | — |
| HORIZON | INDEMNITY | $5,722.15 | — |
| HORIZON | PPO | $5,772.20 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,077.50 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,077.50 | — |
| AMERIHEALTH | LOCAL HMO | $6,183.32 | — |
| QUALCARE | HMO | $6,256.00 | — |
| QUALCARE | WORKERS COMP | $6,292.00 | — |
| CIGNA | PPO | $6,427.14 | — |
| CIGNA | HMO | $6,427.14 | — |
| AMERIHEALTH | REGIONAL HMO | $7,003.43 | — |
| OXFORD | ALL PRODUCTS | $8,268.00 | — |
| AETNA | PPO | $8,419.00 | — |
| AETNA | HMO | $8,419.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| UNITED HEALTHCARE | HMO | $10,284.00 | — |
| HORIZON | WORKERS COMP | $10,715.00 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder prosthesis removal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $648.24 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $929.37 – $929.37 |
| Community Medical Center | Toms River | not published | $951.76 – $951.76 |
| Clara Maass Medical Center | Belleville | not published | $918.17 – $918.17 |
| Newark Beth Israel Medical Center | Newark | not published | $667.31 – $1,685.18 |
| Jersey City Medical Center | Jersey City | not published | $838.90 – $1,007.75 |
| Monmouth Medical Center | Long Branch | not published | $1,836.34 – $1,836.34 |
| Bayshore Medical Center | Holmdel | not published | not published |