Sinus/juglr venogram s&i at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,483.84
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.
$4,765.00
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.
$228.87 with KARNA vs $7,747.94 with OXFORD — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $228.87 | ↓ -93% |
| AETNA | PPO | $246.34 | ↓ -93% |
| AETNA | HMO | $246.34 | ↓ -93% |
| HORIZON | MANAGED MEDICAID | $264.60 | ↓ -92% |
| CIGNA | HMO | $286.28 | ↓ -92% |
| CIGNA | PPO | $286.28 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $671.87 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $857.70 | ↓ -75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,034.01 | ↓ -70% |
| QUALCARE | HMO | $2,363.44 | ↓ -32% |
| HORIZON | OMNIA | $3,039.12 | ↓ -13% |
| HORIZON | WORKERS COMP | $3,354.56 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $3,573.75 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| HORIZON | SHP | $3,666.67 | ↑ +5% |
| QUALCARE | PPO | $3,702.41 | ↑ +6% |
| AETNA | ASA | $3,731.00 | ↑ +7% |
| HORIZON | HMO | $3,759.11 | ↑ +8% |
| HORIZON | PIP | $3,759.59 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,812.00 | ↑ +9% |
| CIGNA | BH | $3,812.00 | ↑ +9% |
| HORIZON | INDEMNITY | $3,813.43 | ↑ +9% |
| HORIZON | PPO | $3,846.78 | ↑ +10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,050.25 | ↑ +16% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,050.25 | ↑ +16% |
| AMERIHEALTH | LOCAL HMO | $4,120.77 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| QUALCARE | WORKERS COMP | $4,193.20 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $4,667.32 | ↑ +34% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $7,747.94 | ↑ +122% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sinus/juglr venogram s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $883.69 | $64.76 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $1,190.66 | $204.01 – $7,062.48 |
| Community Medical Center | Toms River | $976.43 | $187.18 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $936.42 | $204.01 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $1,170.43 | $66.66 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $978.32 | $83.81 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $1,030.11 | $192.67 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $246.34 – $7,747.94 |