Sirolimus, oral 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.
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What you pay up front if you don't use insurance.
$109.61
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.
$0.82 with HORIZON vs $35.62 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $0.82 | — |
| KARNA | MEDICARE ADVANTAGE | $3.48 | — |
| CLOVER | MEDICARE ADVANTAGE | $7.12 | — |
| AETNA | MEDICARE ADVANTAGE | $8.31 | — |
| OXFORD | ALL PRODUCTS | $8.59 | — |
| UNITED HEALTHCARE | HMO | $8.59 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8.63 | — |
| AMERIHEALTH | LOCAL HMO | $11.51 | — |
| AMERIHEALTH | REGIONAL HMO | $12.59 | — |
| WELLCARE | MEDICARE ADVANTAGE | $17.81 | — |
| WELLCARE | MANAGED MEDICAID | $17.81 | — |
| AETNA | MANAGED MEDICAID | $19.39 | — |
| CIGNA | HMO | $19.59 | — |
| CIGNA | PPO | $19.59 | — |
| AMERIGROUP | MANAGED MEDICAID | $19.79 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $19.79 | — |
| QUALCARE | WORKERS COMP | $20.38 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23.31 | — |
| BERGEN RISK | ALL PRODUCTS | $23.75 | — |
| AETNA | PPO | $24.14 | — |
| AETNA | HMO | $24.14 | — |
| HORIZON | OMNIA | $25.24 | — |
| HORIZON | WORKERS COMP | $27.86 | — |
| HORIZON | SHP | $30.46 | — |
| AETNA | ASA | $30.99 | — |
| HORIZON | HMO | $31.22 | — |
| HORIZON | PIP | $31.23 | — |
| CIGNA | BH | $31.66 | — |
| HORIZON | INDEMNITY | $31.68 | — |
| HORIZON | PPO | $31.95 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $33.64 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $33.64 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35.62 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
Visitor-reported prices
Comments
Sirolimus, oral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $1.11 – $24.37 |
| Cooperman Barnabas Medical Center | Livingston | not published | $0.90 – $2.83 |
| Community Medical Center | Toms River | not published | $0.90 – $2.83 |
| Clara Maass Medical Center | Belleville | not published | $0.90 – $2.83 |
| Newark Beth Israel Medical Center | Newark | not published | $0.90 – $2.83 |
| Jersey City Medical Center | Jersey City | not published | $0.90 – $10.52 |
| Monmouth Medical Center | Long Branch | not published | $0.90 – $2.83 |
| Bayshore Medical Center | Holmdel | not published | $0.82 – $0.82 |